Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $517.09 / $3,621.00 / $8,442.00	Facility		$517.09	$3,621.00	$8,442.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $335.75 / $386.81 / $717.34	Professional		$335.75	$386.81	$717.34
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 $288.07 / $376.57 / $892.22	Professional		$288.07	$376.57	$892.22
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $520.90 / $1,716.00 / $6,213.00	Facility		$520.90	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $520.90 / $520.90 / $520.90	Professional		$520.90	$520.90	$520.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.66 / $426.66 / $426.66	Facility		$426.66	$426.66	$426.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $373.02 / $589.45 / $1,350.52	Professional		$373.02	$589.45	$1,350.52
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $332.00 / $1,004.90	Facility		$35.00	$332.00	$1,004.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $411.08 / $583.83 / $861.98	Professional		$411.08	$583.83	$861.98
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $353.01 / $353.01 / $353.01	Facility		$353.01	$353.01	$353.01
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $305.51 / $381.89 / $792.53	Professional		$305.51	$381.89	$792.53
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $426.66 / $555.00 / $597.00	Facility		$426.66	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $364.71 / $553.79 / $1,297.41	Professional		$364.71	$553.79	$1,297.41
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 $314.44 / $466.90 / $1,071.78	Professional		$314.44	$466.90	$1,071.78
Univera Facility/Professional Facility Modifier Low / Median / High Price $449.28 / $449.28 / $1,396.80	Facility		$449.28	$449.28	$1,396.80
Univera Facility/Professional Professional Modifier Low / Median / High Price $353.01 / $467.25 / $949.70	Professional		$353.01	$467.25	$949.70