Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $515.98 / $4,392.00 / $10,024.00	Facility		$515.98	$4,392.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.31 / $410.74 / $927.91	Professional		$354.31	$410.74	$927.91
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 $306.13 / $400.18 / $926.27	Professional		$306.13	$400.18	$926.27
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $549.53 / $1,990.00 / $8,917.50	Facility		$549.53	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $549.53 / $549.53 / $549.53	Professional		$549.53	$549.53	$549.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $444.52 / $444.52 / $444.52	Facility		$444.52	$444.52	$444.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $391.78 / $601.24 / $1,532.06	Professional		$391.78	$601.24	$1,532.06
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $543.00 / $1,067.69	Facility		$332.00	$543.00	$1,067.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $682.45	Professional		$10.00	$10.00	$682.45
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $365.21 / $365.21 / $365.21	Facility		$365.21	$365.21	$365.21
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.38 / $465.27 / $820.75	Professional		$316.38	$465.27	$820.75
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $444.52 / $555.00 / $597.00	Facility		$444.52	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $404.05 / $597.79 / $1,385.95	Professional		$404.05	$597.79	$1,385.95
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,248.00 / $11,200.00	Facility		$2,264.00	$5,248.00	$11,200.00
United Facility/Professional Professional Modifier Low / Median / High Price $346.95 / $492.84 / $1,235.96	Professional		$346.95	$492.84	$1,235.96
Univera Facility/Professional Facility Modifier Low / Median / High Price $465.27 / $465.27 / $1,664.20	Facility		$465.27	$465.27	$1,664.20
Univera Facility/Professional Professional Modifier Low / Median / High Price $319.64 / $508.96 / $983.51	Professional		$319.64	$508.96	$983.51