Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.92 / $2,626.00 / $7,343.00	Facility		$196.92	$2,626.00	$7,343.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.04 / $244.45 / $509.43	Professional		$144.04	$244.45	$509.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,373.00 / $4,085.00 / $8,281.00	Facility		$2,373.00	$4,085.00	$8,281.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.97 / $229.01 / $565.02	Professional		$176.97	$229.01	$565.02
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $205.36 / $205.36 / $4,050.00	Facility		$205.36	$205.36	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $205.36 / $205.36 / $375.33	Professional		$205.36	$205.36	$375.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $244.35 / $244.35 / $3,479.91	Facility		$244.35	$244.35	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.88 / $317.58 / $711.00	Professional		$158.88	$317.58	$711.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $133.00 / $225.85 / $381.38	Facility		$133.00	$225.85	$381.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $267.83 / $347.14 / $516.85	Professional		$267.83	$347.14	$516.85
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $238.18 / $238.18 / $482.13	Facility		$238.18	$238.18	$482.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $191.41 / $312.31 / $484.70	Professional		$191.41	$312.31	$484.70
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $244.35 / $489.43 / $3,479.91	Facility		$244.35	$489.43	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $180.00 / $337.44 / $710.19	Professional		$180.00	$337.44	$710.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,269.00 / $3,612.00 / $8,133.00	Facility		$1,269.00	$3,612.00	$8,133.00
United Facility/Professional Professional Modifier Low / Median / High Price $206.05 / $299.60 / $663.91	Professional		$206.05	$299.60	$663.91
Univera Facility/Professional Facility Modifier Low / Median / High Price $176.08 / $176.08 / $582.36	Facility		$176.08	$176.08	$582.36
Univera Facility/Professional Professional Modifier Low / Median / High Price $191.41 / $350.26 / $524.14	Professional		$191.41	$350.26	$524.14