Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $518.19 / $4,629.00 / $10,674.00	Facility		$518.19	$4,629.00	$10,674.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $366.18 / $416.04 / $767.22	Professional		$366.18	$416.04	$767.22
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 $310.23 / $405.54 / $937.94	Professional		$310.23	$405.54	$937.94
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $553.95 / $2,390.00 / $10,957.50	Facility		$553.95	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $553.95 / $553.95 / $553.95	Professional		$553.95	$553.95	$553.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $453.16 / $453.16 / $453.16	Facility		$453.16	$453.16	$453.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $395.74 / $611.21 / $1,442.10	Professional		$395.74	$611.21	$1,442.10
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $490.00 / $1,051.00	Facility		$332.00	$490.00	$1,051.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $439.43 / $612.98 / $901.52	Professional		$439.43	$612.98	$901.52
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $377.36 / $377.36 / $377.36	Facility		$377.36	$377.36	$377.36
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $328.75 / $410.93 / $852.82	Professional		$328.75	$410.93	$852.82
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $453.16 / $555.00 / $597.00	Facility		$453.16	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $396.62 / $589.29 / $1,397.56	Professional		$396.62	$589.29	$1,397.56
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 $348.64 / $485.92 / $1,212.07	Professional		$348.64	$485.92	$1,212.07
Univera Facility/Professional Facility Modifier Low / Median / High Price $483.45 / $483.45 / $1,794.03	Facility		$483.45	$483.45	$1,794.03
Univera Facility/Professional Professional Modifier Low / Median / High Price $341.42 / $525.89 / $1,021.94	Professional		$341.42	$525.89	$1,021.94