Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.84 / $2,518.00 / $7,307.00	Facility		$148.84	$2,518.00	$7,307.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.49 / $166.63 / $319.38	Professional		$99.49	$166.63	$319.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $3,373.00 / $4,707.00	Facility		$1,689.00	$3,373.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.04 / $162.47 / $406.33	Professional		$131.04	$162.47	$406.33
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $139.80 / $1,254.00 / $4,050.00	Facility		$139.80	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $139.80 / $139.80 / $236.25	Professional		$139.80	$139.80	$236.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $168.21 / $168.21 / $168.21	Facility		$168.21	$168.21	$168.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.03 / $204.95 / $539.98	Professional		$111.03	$204.95	$539.98
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $91.07 / $151.93 / $369.74	Facility		$91.07	$151.93	$369.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $171.56 / $260.77 / $1,339.77	Professional		$171.56	$260.77	$1,339.77
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.33 / $147.33 / $147.33	Facility		$147.33	$147.33	$147.33
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.38 / $164.16 / $345.47	Professional		$137.38	$164.16	$345.47
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $168.21 / $555.00 / $597.00	Facility		$168.21	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $120.80 / $217.84 / $554.67	Professional		$120.80	$217.84	$554.67
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.00 / $3,496.00 / $6,201.00	Facility		$1,348.00	$3,496.00	$6,201.00
United Facility/Professional Professional Modifier Low / Median / High Price $150.05 / $225.30 / $565.15	Professional		$150.05	$225.30	$565.15
Univera Facility/Professional Facility Modifier Low / Median / High Price $115.80 / $115.80 / $218.55	Facility		$115.80	$115.80	$218.55
Univera Facility/Professional Professional Modifier Low / Median / High Price $147.33 / $203.67 / $345.47	Professional		$147.33	$203.67	$345.47