Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $424.87 / $3,414.00 / $9,038.00	Facility		$424.87	$3,414.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $326.29 / $437.61 / $753.06	Professional		$326.29	$437.61	$753.06
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 $328.81 / $408.33 / $962.43	Professional		$328.81	$408.33	$962.43
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $456.34 / $1,990.00 / $8,917.50	Facility		$456.34	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $456.34 / $456.34 / $624.40	Professional		$456.34	$456.34	$624.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $555.37 / $555.37 / $555.37	Facility		$555.37	$555.37	$555.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $339.11 / $569.34 / $1,401.53	Professional		$339.11	$569.34	$1,401.53
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $180.00 / $332.00 / $861.37	Facility		$180.00	$332.00	$861.37
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $487.05 / $682.75 / $1,004.04	Professional		$487.05	$682.75	$1,004.04
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $418.25 / $418.25 / $418.25	Facility		$418.25	$418.25	$418.25
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $362.73 / $459.26 / $953.10	Professional		$362.73	$459.26	$953.10
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $555.37 / $597.00	Facility		$555.00	$555.37	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $339.11 / $592.88 / $1,401.53	Professional		$339.11	$592.88	$1,401.53
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,963.00 / $14,457.00	Facility		$2,264.00	$5,963.00	$14,457.00
United Facility/Professional Professional Modifier Low / Median / High Price $376.09 / $549.19 / $1,345.84	Professional		$376.09	$549.19	$1,345.84
Univera Facility/Professional Facility Modifier Low / Median / High Price $397.35 / $397.35 / $924.59	Facility		$397.35	$397.35	$924.59
Univera Facility/Professional Professional Modifier Low / Median / High Price $362.73 / $582.87 / $953.10	Professional		$362.73	$582.87	$953.10