Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $570.16 / $3,490.00 / $8,134.00	Facility		$570.16	$3,490.00	$8,134.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $395.98 / $472.15 / $869.46	Professional		$395.98	$472.15	$869.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $3,373.00 / $4,707.00	Facility		$1,689.00	$3,373.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $324.45 / $424.12 / $994.20	Professional		$324.45	$424.12	$994.20
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $634.63 / $1,254.00 / $4,050.00	Facility		$634.63	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $634.63 / $634.63 / $634.63	Professional		$634.63	$634.63	$634.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $523.76 / $523.76 / $523.76	Facility		$523.76	$523.76	$523.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $430.74 / $628.89 / $1,600.88	Professional		$430.74	$628.89	$1,600.88
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $170.00 / $332.00 / $1,234.06	Facility		$170.00	$332.00	$1,234.06
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $504.46 / $716.02 / $1,058.55	Professional		$504.46	$716.02	$1,058.55
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $433.20 / $433.20 / $433.20	Facility		$433.20	$433.20	$433.20
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $330.03 / $468.55 / $972.39	Professional		$330.03	$468.55	$972.39
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $523.76 / $555.00 / $597.00	Facility		$523.76	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $419.05 / $632.60 / $1,482.73	Professional		$419.05	$632.60	$1,482.73
United Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,826.00 / $4,851.00	Facility		$964.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $368.36 / $533.59 / $1,340.86	Professional		$368.36	$533.59	$1,340.86
Univera Facility/Professional Facility Modifier Low / Median / High Price $551.24 / $551.24 / $1,765.14	Facility		$551.24	$551.24	$1,765.14
Univera Facility/Professional Professional Modifier Low / Median / High Price $330.03 / $603.70 / $1,165.22	Professional		$330.03	$603.70	$1,165.22