Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.18 / $2,465.00 / $9,868.00	Facility		$234.18	$2,465.00	$9,868.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.41 / $251.80 / $501.11	Professional		$163.41	$251.80	$501.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $3,373.00 / $4,707.00	Facility		$1,689.00	$3,373.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $241.44 / $306.64 / $649.19	Professional		$241.44	$306.64	$649.19
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $260.76 / $260.76 / $6,213.00	Facility		$260.76	$260.76	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $260.76 / $260.76 / $433.12	Professional		$260.76	$260.76	$433.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $319.37 / $319.37 / $14,648.00	Facility		$319.37	$319.37	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.24 / $369.39 / $910.20	Professional		$198.24	$369.39	$910.20
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $230.46 / $505.24	Facility		$130.00	$230.46	$505.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $358.64 / $491.29 / $752.53	Professional		$358.64	$491.29	$752.53
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $308.05 / $308.05 / $308.05	Facility		$308.05	$308.05	$308.05
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $227.27 / $387.27 / $683.16	Professional		$227.27	$387.27	$683.16
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $319.37 / $555.00 / $597.00	Facility		$319.37	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $213.58 / $391.83 / $936.52	Professional		$213.58	$391.83	$936.52
United Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,826.00 / $4,851.00	Facility		$964.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $262.35 / $376.25 / $917.66	Professional		$262.35	$376.25	$917.66
Univera Facility/Professional Facility Modifier Low / Median / High Price $224.58 / $224.58 / $861.11	Facility		$224.58	$224.58	$861.11
Univera Facility/Professional Professional Modifier Low / Median / High Price $227.27 / $429.30 / $683.16	Professional		$227.27	$429.30	$683.16