Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $451.60 / $3,579.00 / $9,267.00	Facility		$451.60	$3,579.00	$9,267.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.66 / $458.11 / $852.03	Professional		$292.66	$458.11	$852.03
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 $413.32 / $524.94 / $1,134.13	Professional		$413.32	$524.94	$1,134.13
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $457.27 / $1,990.00 / $8,917.50	Facility		$457.27	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $457.27 / $457.27 / $733.24	Professional		$457.27	$457.27	$733.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $557.65 / $557.65 / $557.65	Facility		$557.65	$557.65	$557.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $339.83 / $634.11 / $1,580.91	Professional		$339.83	$634.11	$1,580.91
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $282.00 / $388.50 / $884.09	Facility		$282.00	$388.50	$884.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $551.38 / $781.20 / $1,150.92	Professional		$551.38	$781.20	$1,150.92
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $473.49 / $473.49 / $473.49	Facility		$473.49	$473.49	$473.49
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $394.24 / $609.38 / $1,074.96	Professional		$394.24	$609.38	$1,074.96
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $557.65 / $597.00	Facility		$555.00	$557.65	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $343.56 / $664.07 / $1,542.76	Professional		$343.56	$664.07	$1,542.76
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 $438.01 / $653.05 / $1,605.34	Professional		$438.01	$653.05	$1,605.34
Univera Facility/Professional Facility Modifier Low / Median / High Price $397.33 / $397.33 / $1,253.75	Facility		$397.33	$397.33	$1,253.75
Univera Facility/Professional Professional Modifier Low / Median / High Price $397.33 / $659.85 / $1,074.96	Professional		$397.33	$659.85	$1,074.96