Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $402.81 / $2,902.00 / $8,134.00	Facility		$402.81	$2,902.00	$8,134.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $305.23 / $371.62 / $763.62	Professional		$305.23	$371.62	$763.62
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 $276.06 / $360.87 / $817.64	Professional		$276.06	$360.87	$817.64
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $473.31 / $1,254.00 / $4,050.00	Facility		$473.31	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $473.31 / $473.31 / $508.64	Professional		$473.31	$473.31	$508.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $580.91 / $580.91 / $580.91	Facility		$580.91	$580.91	$580.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $348.60 / $519.85 / $1,291.70	Professional		$348.60	$519.85	$1,291.70
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $293.00 / $378.00 / $925.52	Facility		$293.00	$378.00	$925.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $407.69 / $579.45 / $855.32	Professional		$407.69	$579.45	$855.32
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $350.10 / $350.10 / $350.10	Facility		$350.10	$350.10	$350.10
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $286.45 / $445.01 / $785.01	Professional		$286.45	$445.01	$785.01
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $580.91 / $597.00	Facility		$555.00	$580.91	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $349.64 / $523.24 / $1,249.55	Professional		$349.64	$523.24	$1,249.55
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.00 / $3,496.00 / $6,201.00	Facility		$1,348.00	$3,496.00	$6,201.00
United Facility/Professional Professional Modifier Low / Median / High Price $321.32 / $465.27 / $1,145.05	Professional		$321.32	$465.27	$1,145.05
Univera Facility/Professional Facility Modifier Low / Median / High Price $413.03 / $413.03 / $1,420.84	Facility		$413.03	$413.03	$1,420.84
Univera Facility/Professional Professional Modifier Low / Median / High Price $302.61 / $462.81 / $875.78	Professional		$302.61	$462.81	$875.78