Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $253.19 / $2,465.00 / $9,868.00	Facility		$253.19	$2,465.00	$9,868.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $205.37 / $404.59 / $828.37	Professional		$205.37	$404.59	$828.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,385.00 / $4,133.00 / $9,074.00	Facility		$2,385.00	$4,133.00	$9,074.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $343.29 / $444.69 / $1,144.28	Professional		$343.29	$444.69	$1,144.28
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $295.85 / $295.85 / $8,917.50	Facility		$295.85	$295.85	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $295.85 / $295.85 / $858.28	Professional		$295.85	$295.85	$858.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $355.80 / $355.80 / $355.80	Facility		$355.80	$355.80	$355.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $228.83 / $552.39 / $1,426.31	Professional		$228.83	$552.39	$1,426.31
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $182.00 / $276.00 / $563.54	Facility		$182.00	$276.00	$563.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $592.64 / $818.84 / $1,254.25	Professional		$592.64	$818.84	$1,254.25
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $509.75 / $509.75 / $509.75	Facility		$509.75	$509.75	$509.75
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $340.04 / $680.52 / $1,200.45	Professional		$340.04	$680.52	$1,200.45
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $355.80 / $555.00 / $597.00	Facility		$355.80	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $240.37 / $615.38 / $1,431.89	Professional		$240.37	$615.38	$1,431.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,768.00 / $3,961.00 / $8,312.00	Facility		$1,768.00	$3,961.00	$8,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $412.88 / $615.38 / $1,498.35	Professional		$412.88	$615.38	$1,498.35
Univera Facility/Professional Facility Modifier Low / Median / High Price $248.13 / $248.13 / $932.57	Facility		$248.13	$248.13	$932.57
Univera Facility/Professional Professional Modifier Low / Median / High Price $340.04 / $680.52 / $1,200.45	Professional		$340.04	$680.52	$1,200.45