Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $313.43 / $2,952.00 / $7,735.00	Facility		$313.43	$2,952.00	$7,735.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.66 / $302.73 / $621.97	Professional		$218.66	$302.73	$621.97
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 $236.60 / $300.01 / $693.92	Professional		$236.60	$300.01	$693.92
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $334.06 / $334.06 / $6,213.00	Facility		$334.06	$334.06	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $334.06 / $334.06 / $429.55	Professional		$334.06	$334.06	$429.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $414.29 / $414.29 / $14,648.00	Facility		$414.29	$414.29	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.60 / $418.56 / $1,021.68	Professional		$253.60	$418.56	$1,021.68
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $257.60 / $332.00 / $642.05	Facility		$257.60	$332.00	$642.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $347.61 / $494.28 / $730.54	Professional		$347.61	$494.28	$730.54
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $298.50 / $298.50 / $298.50	Facility		$298.50	$298.50	$298.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $253.55 / $323.54 / $671.46	Professional		$253.55	$323.54	$671.46
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $414.29 / $555.00 / $597.00	Facility		$414.29	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $271.20 / $434.54 / $1,020.00	Professional		$271.20	$434.54	$1,020.00
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 $280.64 / $380.70 / $1,036.80	Professional		$280.64	$380.70	$1,036.80
Univera Facility/Professional Facility Modifier Low / Median / High Price $287.85 / $287.85 / $915.74	Facility		$287.85	$287.85	$915.74
Univera Facility/Professional Professional Modifier Low / Median / High Price $258.83 / $395.87 / $671.46	Professional		$258.83	$395.87	$671.46