Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $513.76 / $2,920.00 / $7,735.00	Facility		$513.76	$2,920.00	$7,735.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $383.62 / $441.12 / $879.15	Professional		$383.62	$441.12	$879.15
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 $335.89 / $439.08 / $1,021.42	Professional		$335.89	$439.08	$1,021.42
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $578.04 / $1,254.00 / $4,050.00	Facility		$578.04	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $578.04 / $578.04 / $578.04	Professional		$578.04	$578.04	$578.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $460.80 / $460.80 / $460.80	Facility		$460.80	$460.80	$460.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $399.85 / $617.23 / $1,521.76	Professional		$399.85	$617.23	$1,521.76
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $497.00 / $1,066.46	Facility		$332.00	$497.00	$1,066.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $479.41 / $641.49 / $914.78	Professional		$479.41	$641.49	$914.78
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $381.84 / $381.84 / $381.84	Facility		$381.84	$381.84	$381.84
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $305.47 / $418.11 / $867.70	Professional		$305.47	$418.11	$867.70
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $460.80 / $555.00 / $597.00	Facility		$460.80	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $413.75 / $610.25 / $1,465.03	Professional		$413.75	$610.25	$1,465.03
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 $348.26 / $500.90 / $1,273.57	Professional		$348.26	$500.90	$1,273.57
Univera Facility/Professional Facility Modifier Low / Median / High Price $491.89 / $491.89 / $1,674.03	Facility		$491.89	$491.89	$1,674.03
Univera Facility/Professional Professional Modifier Low / Median / High Price $334.48 / $532.13 / $1,039.77	Professional		$334.48	$532.13	$1,039.77