Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.15 / $938.56 / $2,255.00	Facility		$161.15	$938.56	$2,255.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.99 / $520.35 / $1,153.44	Professional		$129.99	$520.35	$1,153.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $790.00 / $1,751.00 / $4,671.00	Facility		$790.00	$1,751.00	$4,671.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $300.41 / $1,314.82 / $1,718.78	Professional		$300.41	$1,314.82	$1,718.78
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $171.78 / $171.78 / $171.78	Facility		$171.78	$171.78	$171.78
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $171.78 / $171.78 / $1,362.54	Professional		$171.78	$171.78	$1,362.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $216.13 / $216.13 / $3,956.70	Facility		$216.13	$216.13	$3,956.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.94 / $507.31 / $2,220.80	Professional		$149.94	$507.31	$2,220.80
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $141.57 / $228.19 / $610.00	Facility		$141.57	$228.19	$610.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $743.07 / $1,007.27 / $1,449.66	Professional		$743.07	$1,007.27	$1,449.66
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $659.97 / $659.97 / $659.97	Facility		$659.97	$659.97	$659.97
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $659.97 / $930.56 / $1,741.55	Professional		$659.97	$930.56	$1,741.55
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $216.13 / $216.13 / $3,956.70	Facility		$216.13	$216.13	$3,956.70
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $161.19 / $941.14 / $2,151.01	Professional		$161.19	$941.14	$2,151.01
United Facility/Professional Professional Modifier Low / Median / High Price $598.42 / $1,015.24 / $1,989.33	Professional		$598.42	$1,015.24	$1,989.33
Univera Facility/Professional Facility Modifier Low / Median / High Price $665.35 / $831.43 / $831.43	Facility		$665.35	$831.43	$831.43
Univera Facility/Professional Professional Modifier Low / Median / High Price $665.35 / $831.43 / $1,741.55	Professional		$665.35	$831.43	$1,741.55