Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $185.09 / $3,783.00 / $9,661.00	Facility		$185.09	$3,783.00	$9,661.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.86 / $142.76 / $285.86	Professional		$115.86	$142.76	$285.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,366.00 / $4,707.00	Facility		$1,691.00	$3,366.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.72 / $129.38 / $311.39	Professional		$100.72	$129.38	$311.39
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $185.72 / $185.72 / $4,050.00	Facility		$185.72	$185.72	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $185.72 / $185.72 / $185.72	Professional		$185.72	$185.72	$185.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.13 / $147.13 / $14,648.00	Facility		$147.13	$147.13	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.94 / $202.88 / $455.33	Professional		$102.94	$202.88	$455.33
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $125.00 / $200.00 / $471.29	Facility		$125.00	$200.00	$471.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $128.53 / $174.90 / $261.75	Professional		$128.53	$174.90	$261.75
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.31 / $150.58 / $272.14	Professional		$112.31	$150.58	$272.14
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $147.13 / $147.13 / $597.00	Facility		$147.13	$147.13	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $114.25 / $196.75 / $455.33	Professional		$114.25	$196.75	$455.33
United Facility/Professional Facility Modifier Low / Median / High Price $1,079.00 / $2,884.00 / $4,840.00	Facility		$1,079.00	$2,884.00	$4,840.00
United Facility/Professional Professional Modifier Low / Median / High Price $122.29 / $166.73 / $362.08	Professional		$122.29	$166.73	$362.08
Univera Facility/Professional Facility Modifier Low / Median / High Price $137.94 / $137.94 / $479.25	Facility		$137.94	$137.94	$479.25
Univera Facility/Professional Professional Modifier Low / Median / High Price $117.25 / $170.67 / $336.78	Professional		$117.25	$170.67	$336.78