Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.14 / $2,739.00 / $8,134.00	Facility		$108.14	$2,739.00	$8,134.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.65 / $121.34 / $238.31	Professional		$84.65	$121.34	$238.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,651.00 / $3,263.00 / $4,636.00	Facility		$1,651.00	$3,263.00	$4,636.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.50 / $120.62 / $262.61	Professional		$96.50	$120.62	$262.61
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $120.60 / $120.60 / $4,050.00	Facility		$120.60	$120.60	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $120.60 / $120.60 / $167.86	Professional		$120.60	$120.60	$167.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.36 / $133.36 / $146.47	Facility		$133.36	$133.36	$146.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.58 / $167.44 / $409.75	Professional		$84.58	$167.44	$409.75
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $122.28 / $332.00	Facility		$55.00	$122.28	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $107.90 / $136.25 / $200.77	Professional		$107.90	$136.25	$200.77
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $92.52 / $92.52 / $92.52	Facility		$92.52	$92.52	$92.52
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.49 / $114.64 / $206.47	Professional		$86.49	$114.64	$206.47
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $133.36 / $133.36 / $597.00	Facility		$133.36	$133.36	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $90.98 / $169.40 / $381.73	Professional		$90.98	$169.40	$381.73
United Facility/Professional Facility Modifier Low / Median / High Price $671.00 / $2,597.00 / $4,840.00	Facility		$671.00	$2,597.00	$4,840.00
United Facility/Professional Professional Modifier Low / Median / High Price $89.69 / $132.06 / $323.80	Professional		$89.69	$132.06	$323.80
Univera Facility/Professional Facility Modifier Low / Median / High Price $102.63 / $102.63 / $321.64	Facility		$102.63	$102.63	$321.64
Univera Facility/Professional Professional Modifier Low / Median / High Price $86.49 / $146.19 / $234.67	Professional		$86.49	$146.19	$234.67