Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $456.71 / $3,841.00 / $9,038.00	Facility		$456.71	$3,841.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.64 / $356.45 / $660.47	Professional		$302.64	$356.45	$660.47
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 $263.22 / $344.08 / $797.00	Professional		$263.22	$344.08	$797.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $480.38 / $1,716.00 / $6,213.00	Facility		$480.38	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $480.38 / $480.38 / $480.38	Professional		$480.38	$480.38	$480.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $394.30 / $394.30 / $394.30	Facility		$394.30	$394.30	$394.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $334.65 / $508.39 / $1,272.97	Professional		$334.65	$508.39	$1,272.97
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $445.00 / $929.41	Facility		$332.00	$445.00	$929.41
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $379.73 / $539.91 / $797.23	Professional		$379.73	$539.91	$797.23
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $326.08 / $326.08 / $326.08	Facility		$326.08	$326.08	$326.08
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $272.16 / $415.22 / $732.46	Professional		$272.16	$415.22	$732.46
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $394.30 / $555.00 / $597.00	Facility		$394.30	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $350.43 / $505.43 / $1,171.61	Professional		$350.43	$505.43	$1,171.61
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 $299.27 / $428.46 / $1,059.31	Professional		$299.27	$428.46	$1,059.31
Univera Facility/Professional Facility Modifier Low / Median / High Price $415.22 / $415.22 / $1,457.82	Facility		$415.22	$415.22	$1,457.82
Univera Facility/Professional Professional Modifier Low / Median / High Price $282.35 / $454.44 / $877.71	Professional		$282.35	$454.44	$877.71