Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $748.00 / $5,370.00 / $10,686.00	Facility		$748.00	$5,370.00	$10,686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.20 / $281.11 / $369.39	Professional		$215.20	$281.11	$369.39
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 $219.67 / $272.80 / $499.40	Professional		$219.67	$272.80	$499.40
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $377.26 / $377.26 / $10,957.50	Facility		$377.26	$377.26	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $377.26 / $377.26 / $377.26	Professional		$377.26	$377.26	$377.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $395.70 / $395.70 / $395.70	Facility		$395.70	$395.70	$395.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,442.19 / $1,442.19 / $1,442.19	Professional		$1,442.19	$1,442.19	$1,442.19
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $285.58 / $346.00 / $789.66	Facility		$285.58	$346.00	$789.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $236.00 / $388.96 / $677.35	Professional		$236.00	$388.96	$677.35
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $288.12 / $288.12 / $288.12	Facility		$288.12	$288.12	$288.12
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $244.90 / $403.37 / $635.30	Professional		$244.90	$403.37	$635.30
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $395.70 / $555.00 / $597.00	Facility		$395.70	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,442.19 / $1,442.19 / $1,442.19	Professional		$1,442.19	$1,442.19	$1,442.19
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $6,501.00 / $12,177.00	Facility		$2,264.00	$6,501.00	$12,177.00
United Facility/Professional Professional Modifier Low / Median / High Price $236.59 / $315.75 / $633.34	Professional		$236.59	$315.75	$633.34
Univera Facility/Professional Facility Modifier Low / Median / High Price $273.18 / $360.15 / $360.15	Facility		$273.18	$360.15	$360.15
Univera Facility/Professional Professional Modifier Low / Median / High Price $273.18 / $402.95 / $761.30	Professional		$273.18	$402.95	$761.30