Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.62 / $228.82 / $353.40	Facility		$143.62	$228.82	$353.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.94 / $208.11 / $386.98	Professional		$135.94	$208.11	$386.98
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 $170.45 / $216.48 / $502.16	Professional		$170.45	$216.48	$502.16
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $188.67 / $188.67 / $6,213.00	Facility		$188.67	$188.67	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $188.67 / $188.67 / $300.87	Professional		$188.67	$188.67	$300.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.64 / $234.64 / $14,648.00	Facility		$234.64	$234.64	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.63 / $276.89 / $691.49	Professional		$147.63	$276.89	$691.49
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $180.00 / $371.61	Facility		$100.00	$180.00	$371.61
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $254.12 / $361.79 / $533.76	Professional		$254.12	$361.79	$533.76
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $218.22 / $218.22 / $218.22	Facility		$218.22	$218.22	$218.22
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.45 / $274.48 / $484.19	Professional		$169.45	$274.48	$484.19
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $234.64 / $555.00 / $597.00	Facility		$234.64	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $162.52 / $293.74 / $691.40	Professional		$162.52	$293.74	$691.40
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 $186.60 / $272.77 / $694.62	Professional		$186.60	$272.77	$694.62
Univera Facility/Professional Facility Modifier Low / Median / High Price $164.70 / $164.70 / $620.83	Facility		$164.70	$164.70	$620.83
Univera Facility/Professional Professional Modifier Low / Median / High Price $169.45 / $304.11 / $484.19	Professional		$169.45	$304.11	$484.19