Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.19 / $3,859.00 / $9,038.00	Facility		$213.19	$3,859.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.20 / $147.35 / $255.00	Professional		$67.20	$147.35	$255.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,333.00 / $4,636.00	Facility		$1,691.00	$3,333.00	$4,636.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $179.22 / $225.22 / $539.24	Professional		$179.22	$225.22	$539.24
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $138.31 / $138.31 / $4,050.00	Facility		$138.31	$138.31	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $138.31 / $138.31 / $306.37	Professional		$138.31	$138.31	$306.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.28 / $128.28 / $3,479.91	Facility		$128.28	$128.28	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.85 / $153.85 / $153.85	Professional		$153.85	$153.85	$153.85
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $100.13 / $159.90 / $332.00	Facility		$100.13	$159.90	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $195.49 / $233.25 / $349.07	Professional		$195.49	$233.25	$349.07
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.37 / $209.12 / $395.81	Professional		$160.37	$209.12	$395.81
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $128.28 / $555.00 / $3,479.91	Facility		$128.28	$555.00	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $153.85 / $208.51 / $550.88	Professional		$153.85	$208.51	$550.88
United Facility/Professional Facility Modifier Low / Median / High Price $1,079.00 / $2,826.00 / $4,851.00	Facility		$1,079.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $177.36 / $321.35 / $732.48	Professional		$177.36	$321.35	$732.48
Univera Facility/Professional Facility Modifier Low / Median / High Price $104.24 / $104.24 / $104.30	Facility		$104.24	$104.24	$104.30
Univera Facility/Professional Professional Modifier Low / Median / High Price $160.37 / $226.99 / $395.81	Professional		$160.37	$226.99	$395.81