Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $431.42 / $3,516.00 / $9,038.00	Facility		$431.42	$3,516.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $297.68 / $347.91 / $608.90	Professional		$297.68	$347.91	$608.90
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 $257.01 / $335.97 / $763.14	Professional		$257.01	$335.97	$763.14
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $469.24 / $1,990.00 / $8,917.50	Facility		$469.24	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $469.24 / $469.24 / $469.24	Professional		$469.24	$469.24	$469.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.47 / $380.47 / $380.47	Facility		$380.47	$380.47	$380.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.12 / $488.73 / $1,148.68	Professional		$323.12	$488.73	$1,148.68
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $167.00 / $332.00 / $857.23	Facility		$167.00	$332.00	$857.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $355.85 / $503.37 / $735.31	Professional		$355.85	$503.37	$735.31
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $319.57 / $319.57 / $319.57	Facility		$319.57	$319.57	$319.57
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $274.29 / $403.36 / $711.54	Professional		$274.29	$403.36	$711.54
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $380.47 / $555.00 / $597.00	Facility		$380.47	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $330.03 / $488.73 / $1,118.60	Professional		$330.03	$488.73	$1,118.60
United Facility/Professional Facility Modifier Low / Median / High Price $2,031.00 / $4,840.00 / $9,416.00	Facility		$2,031.00	$4,840.00	$9,416.00
United Facility/Professional Professional Modifier Low / Median / High Price $294.38 / $411.69 / $979.69	Professional		$294.38	$411.69	$979.69
Univera Facility/Professional Facility Modifier Low / Median / High Price $403.36 / $403.36 / $1,061.10	Facility		$403.36	$403.36	$1,061.10
Univera Facility/Professional Professional Modifier Low / Median / High Price $274.77 / $445.35 / $852.64	Professional		$274.77	$445.35	$852.64