Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.57 / $2,884.50 / $7,839.00	Facility		$166.57	$2,884.50	$7,839.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.64 / $186.09 / $346.28	Professional		$119.64	$186.09	$346.28
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 $145.80 / $185.17 / $421.46	Professional		$145.80	$185.17	$421.46
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $178.72 / $1,716.00 / $6,213.00	Facility		$178.72	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $178.72 / $178.72 / $277.08	Professional		$178.72	$178.72	$277.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.88 / $214.88 / $214.88	Facility		$214.88	$214.88	$214.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.34 / $242.20 / $630.28	Professional		$134.34	$242.20	$630.28
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $154.53 / $332.00	Facility		$75.00	$154.53	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $209.92 / $289.89 / $424.83	Professional		$209.92	$289.89	$424.83
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $180.27 / $180.27 / $180.27	Facility		$180.27	$180.27	$180.27
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.06 / $192.81 / $412.00	Professional		$151.06	$192.81	$412.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $214.88 / $555.00 / $597.00	Facility		$214.88	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $144.80 / $261.20 / $648.82	Professional		$144.80	$261.20	$648.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.00 / $3,447.00 / $5,963.00	Facility		$1,348.00	$3,447.00	$5,963.00
United Facility/Professional Professional Modifier Low / Median / High Price $162.24 / $242.79 / $558.71	Professional		$162.24	$242.79	$558.71
Univera Facility/Professional Facility Modifier Low / Median / High Price $147.06 / $147.06 / $572.57	Facility		$147.06	$147.06	$572.57
Univera Facility/Professional Professional Modifier Low / Median / High Price $151.06 / $237.47 / $412.00	Professional		$151.06	$237.47	$412.00