Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $265.98 / $4,452.00 / $10,686.00	Facility		$265.98	$4,452.00	$10,686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.63 / $206.34 / $430.39	Professional		$175.63	$206.34	$430.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,248.00 / $5,196.00 / $11,909.00	Facility		$3,248.00	$5,196.00	$11,909.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.78 / $193.18 / $440.25	Professional		$147.78	$193.18	$440.25
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $276.64 / $1,990.00 / $8,917.50	Facility		$276.64	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $276.64 / $276.64 / $276.64	Professional		$276.64	$276.64	$276.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $221.10 / $221.10 / $14,648.00	Facility		$221.10	$221.10	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.39 / $304.07 / $830.57	Professional		$176.39	$304.07	$830.57
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $215.99 / $329.38 / $610.00	Facility		$215.99	$329.38	$610.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $226.62 / $299.43 / $439.73	Professional		$226.62	$299.43	$439.73
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $179.99 / $179.99 / $179.99	Facility		$179.99	$179.99	$179.99
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.99 / $190.08 / $406.17	Professional		$143.99	$190.08	$406.17
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $221.10 / $555.00 / $36,596.00	Facility		$221.10	$555.00	$36,596.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $200.13 / $307.42 / $778.50	Professional		$200.13	$307.42	$778.50
United Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,826.00 / $5,412.00	Facility		$964.00	$2,826.00	$5,412.00
United Facility/Professional Professional Modifier Low / Median / High Price $175.92 / $263.88 / $622.83	Professional		$175.92	$263.88	$622.83
Univera Facility/Professional Facility Modifier Low / Median / High Price $223.62 / $223.62 / $986.51	Facility		$223.62	$223.62	$986.51
Univera Facility/Professional Professional Modifier Low / Median / High Price $143.99 / $234.12 / $486.72	Professional		$143.99	$234.12	$486.72