Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $242.59 / $2,920.00 / $8,442.00	Facility		$242.59	$2,920.00	$8,442.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.36 / $265.39 / $505.92	Professional		$176.36	$265.39	$505.92
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 $209.80 / $266.45 / $616.51	Professional		$209.80	$266.45	$616.51
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $246.92 / $246.92 / $6,213.00	Facility		$246.92	$246.92	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $246.92 / $246.92 / $378.21	Professional		$246.92	$246.92	$378.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.51 / $302.51 / $14,648.00	Facility		$302.51	$302.51	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.47 / $342.79 / $849.72	Professional		$190.47	$342.79	$849.72
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $193.06 / $276.48 / $478.53	Facility		$193.06	$276.48	$478.53
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $310.01 / $441.19 / $650.95	Professional		$310.01	$441.19	$650.95
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $266.22 / $266.22 / $266.22	Facility		$266.22	$266.22	$266.22
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.21 / $335.14 / $591.19	Professional		$208.21	$335.14	$591.19
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $302.51 / $555.00 / $597.00	Facility		$302.51	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $204.00 / $359.37 / $849.72	Professional		$204.00	$359.37	$849.72
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 $236.84 / $335.46 / $821.07	Professional		$236.84	$335.46	$821.07
Univera Facility/Professional Facility Modifier Low / Median / High Price $211.94 / $211.94 / $817.87	Facility		$211.94	$211.94	$817.87
Univera Facility/Professional Professional Modifier Low / Median / High Price $211.94 / $348.54 / $591.19	Professional		$211.94	$348.54	$591.19