Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $543.04 / $4,392.00 / $10,024.00	Facility		$543.04	$4,392.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $352.34 / $424.76 / $789.38	Professional		$352.34	$424.76	$789.38
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 $329.06 / $430.12 / $963.24	Professional		$329.06	$430.12	$963.24
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $573.01 / $1,990.00 / $8,917.50	Facility		$573.01	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $573.01 / $573.01 / $573.01	Professional		$573.01	$573.01	$573.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $469.44 / $469.44 / $469.44	Facility		$469.44	$469.44	$469.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $400.25 / $604.37 / $1,513.32	Professional		$400.25	$604.37	$1,513.32
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $520.00 / $1,106.33	Facility		$332.00	$520.00	$1,106.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $452.21 / $642.63 / $948.98	Professional		$452.21	$642.63	$948.98
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $388.33 / $388.33 / $388.33	Facility		$388.33	$388.33	$388.33
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $335.93 / $494.01 / $871.45	Professional		$335.93	$494.01	$871.45
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $469.44 / $555.00 / $597.00	Facility		$469.44	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $417.94 / $602.98 / $1,396.40	Professional		$417.94	$602.98	$1,396.40
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 $365.49 / $517.22 / $1,291.23	Professional		$365.49	$517.22	$1,291.23
Univera Facility/Professional Facility Modifier Low / Median / High Price $494.01 / $494.01 / $1,643.58	Facility		$494.01	$494.01	$1,643.58
Univera Facility/Professional Professional Modifier Low / Median / High Price $388.33 / $541.17 / $1,044.26	Professional		$388.33	$541.17	$1,044.26