Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.96 / $2,626.00 / $7,227.91	Facility		$164.96	$2,626.00	$7,227.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.26 / $189.33 / $348.72	Professional		$125.26	$189.33	$348.72
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 $161.38 / $217.79 / $436.62	Professional		$161.38	$217.79	$436.62
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $176.19 / $176.19 / $4,050.00	Facility		$176.19	$176.19	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $176.19 / $176.19 / $286.48	Professional		$176.19	$176.19	$286.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.62 / $213.62 / $3,479.91	Facility		$213.62	$213.62	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.22 / $260.77 / $629.66	Professional		$135.22	$260.77	$629.66
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $190.87 / $332.00	Facility		$55.00	$190.87	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $213.89 / $277.02 / $412.58	Professional		$213.89	$277.02	$412.58
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $190.13 / $190.13 / $190.13	Facility		$190.13	$190.13	$190.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.13 / $236.92 / $379.60	Professional		$158.13	$236.92	$379.60
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $213.62 / $555.00 / $3,479.91	Facility		$213.62	$555.00	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $148.13 / $277.62 / $621.78	Professional		$148.13	$277.62	$621.78
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 $168.93 / $228.16 / $517.73	Professional		$168.93	$228.16	$517.73
Univera Facility/Professional Facility Modifier Low / Median / High Price $152.87 / $152.87 / $512.27	Facility		$152.87	$152.87	$512.27
Univera Facility/Professional Professional Modifier Low / Median / High Price $158.13 / $267.13 / $416.93	Professional		$158.13	$267.13	$416.93