Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.70 / $2,220.00 / $9,868.00	Facility		$79.70	$2,220.00	$9,868.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.23 / $164.78 / $273.52	Professional		$64.23	$164.78	$273.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,131.00 / $9,074.00	Facility		$2,393.00	$4,131.00	$9,074.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.35 / $188.69 / $394.95	Professional		$142.35	$188.69	$394.95
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $93.92 / $93.92 / $93.92	Facility		$93.92	$93.92	$93.92
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $93.92 / $93.92 / $277.74	Professional		$93.92	$93.92	$277.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.20 / $107.24 / $125.00	Facility		$80.20	$107.24	$125.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.17 / $200.89 / $507.99	Professional		$73.17	$200.89	$507.99
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $77.31 / $114.41 / $332.00	Facility		$77.31	$114.41	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $204.95 / $277.82 / $402.12	Professional		$204.95	$277.82	$402.12
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.30 / $245.43 / $418.95	Professional		$152.30	$245.43	$418.95
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $107.24 / $107.24 / $597.00	Facility		$107.24	$107.24	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $77.43 / $227.24 / $506.62	Professional		$77.43	$227.24	$506.62
United Facility/Professional Professional Modifier Low / Median / High Price $166.77 / $225.63 / $503.50	Professional		$166.77	$225.63	$503.50
Univera Facility/Professional Facility Modifier Low / Median / High Price $71.31 / $71.31 / $217.95	Facility		$71.31	$71.31	$217.95
Univera Facility/Professional Professional Modifier Low / Median / High Price $152.30 / $211.89 / $418.95	Professional		$152.30	$211.89	$418.95