Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $475.26 / $3,731.00 / $9,267.00	Facility		$475.26	$3,731.00	$9,267.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $337.59 / $416.96 / $821.71	Professional		$337.59	$416.96	$821.71
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 $295.75 / $386.61 / $896.51	Professional		$295.75	$386.61	$896.51
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $496.75 / $1,716.00 / $6,213.00	Facility		$496.75	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $496.75 / $496.75 / $496.75	Professional		$496.75	$496.75	$496.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $405.65 / $405.65 / $405.65	Facility		$405.65	$405.65	$405.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $366.16 / $609.29 / $1,379.81	Professional		$366.16	$609.29	$1,379.81
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $500.00 / $950.60	Facility		$332.00	$500.00	$950.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $380.78 / $548.83 / $815.41	Professional		$380.78	$548.83	$815.41
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $326.99 / $326.99 / $326.99	Facility		$326.99	$326.99	$326.99
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $297.02 / $359.92 / $739.06	Professional		$297.02	$359.92	$739.06
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $405.65 / $555.00 / $597.00	Facility		$405.65	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $373.89 / $600.04 / $1,328.10	Professional		$373.89	$600.04	$1,328.10
United Facility/Professional Facility Modifier Low / Median / High Price $2,062.00 / $5,336.00 / $13,287.00	Facility		$2,062.00	$5,336.00	$13,287.00
United Facility/Professional Professional Modifier Low / Median / High Price $323.02 / $468.70 / $1,208.03	Professional		$323.02	$468.70	$1,208.03
Univera Facility/Professional Facility Modifier Low / Median / High Price $418.96 / $418.96 / $1,952.75	Facility		$418.96	$418.96	$1,952.75
Univera Facility/Professional Professional Modifier Low / Median / High Price $345.47 / $435.72 / $885.62	Professional		$345.47	$435.72	$885.62