Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.84 / $2,626.00 / $7,307.00	Facility		$199.84	$2,626.00	$7,307.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.00 / $229.21 / $389.96	Professional		$143.00	$229.21	$389.96
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 $198.28 / $247.86 / $515.01	Professional		$198.28	$247.86	$515.01
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $202.63 / $202.63 / $4,050.00	Facility		$202.63	$202.63	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $202.63 / $202.63 / $335.84	Professional		$202.63	$202.63	$335.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $235.34 / $235.34 / $3,479.91	Facility		$235.34	$235.34	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.44 / $307.68 / $710.00	Professional		$157.44	$307.68	$710.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $210.03 / $363.51	Facility		$85.00	$210.03	$363.51
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $231.70 / $302.97 / $450.23	Professional		$231.70	$302.97	$450.23
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $207.48 / $207.48 / $482.13	Facility		$207.48	$207.48	$482.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $196.64 / $271.06 / $420.69	Professional		$196.64	$271.06	$420.69
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $235.34 / $399.82 / $3,479.91	Facility		$235.34	$399.82	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $167.06 / $325.02 / $689.48	Professional		$167.06	$325.02	$689.48
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 $188.33 / $266.02 / $591.72	Professional		$188.33	$266.02	$591.72
Univera Facility/Professional Facility Modifier Low / Median / High Price $169.58 / $169.58 / $482.13	Facility		$169.58	$169.58	$482.13
Univera Facility/Professional Professional Modifier Low / Median / High Price $215.70 / $281.91 / $454.92	Professional		$215.70	$281.91	$454.92