Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.45 / $2,626.00 / $7,307.00	Facility		$216.45	$2,626.00	$7,307.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.19 / $237.41 / $436.88	Professional		$157.19	$237.41	$436.88
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 $189.33 / $240.46 / $557.11	Professional		$189.33	$240.46	$557.11
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $220.89 / $220.89 / $6,213.00	Facility		$220.89	$220.89	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $220.89 / $220.89 / $342.64	Professional		$220.89	$220.89	$342.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.43 / $269.43 / $14,648.00	Facility		$269.43	$269.43	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.33 / $311.17 / $760.69	Professional		$170.33	$311.17	$760.69
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $243.00 / $426.24	Facility		$150.00	$243.00	$426.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $280.70 / $399.22 / $588.86	Professional		$280.70	$399.22	$588.86
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $241.06 / $241.06 / $241.06	Facility		$241.06	$241.06	$241.06
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $193.60 / $303.47 / $535.33	Professional		$193.60	$303.47	$535.33
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $269.43 / $555.00 / $597.00	Facility		$269.43	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $185.39 / $328.44 / $762.78	Professional		$185.39	$328.44	$762.78
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 $213.73 / $314.70 / $821.06	Professional		$213.73	$314.70	$821.06
Univera Facility/Professional Facility Modifier Low / Median / High Price $189.36 / $189.36 / $725.01	Facility		$189.36	$189.36	$725.01
Univera Facility/Professional Professional Modifier Low / Median / High Price $193.60 / $335.95 / $535.33	Professional		$193.60	$335.95	$535.33