Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $253.97 / $3,978.00 / $9,661.00	Facility		$253.97	$3,978.00	$9,661.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.69 / $220.29 / $344.14	Professional		$169.69	$220.29	$344.14
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 $146.75 / $186.08 / $445.04	Professional		$146.75	$186.08	$445.04
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $262.87 / $262.87 / $4,050.00	Facility		$262.87	$262.87	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $262.87 / $262.87 / $262.87	Professional		$262.87	$262.87	$262.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $210.83 / $210.83 / $14,648.00	Facility		$210.83	$210.83	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.86 / $279.57 / $630.44	Professional		$178.86	$279.57	$630.44
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $210.42 / $286.16 / $610.00	Facility		$210.42	$286.16	$610.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $210.42 / $276.86 / $385.07	Professional		$210.42	$276.86	$385.07
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.41 / $267.60 / $390.22	Professional		$150.41	$267.60	$390.22
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $210.83 / $210.83 / $597.00	Facility		$210.83	$210.83	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $188.48 / $276.52 / $617.36	Professional		$188.48	$276.52	$617.36
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 $150.52 / $218.42 / $519.55	Professional		$150.52	$218.42	$519.55
Univera Facility/Professional Facility Modifier Low / Median / High Price $245.99 / $245.99 / $657.35	Facility		$245.99	$245.99	$657.35
Univera Facility/Professional Professional Modifier Low / Median / High Price $191.15 / $272.05 / $513.57	Professional		$191.15	$272.05	$513.57