Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $563.45 / $4,629.00 / $10,674.00	Facility		$563.45	$4,629.00	$10,674.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $373.27 / $442.72 / $817.49	Professional		$373.27	$442.72	$817.49
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 $326.36 / $426.62 / $986.38	Professional		$326.36	$426.62	$986.38
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $594.34 / $2,390.00 / $10,957.50	Facility		$594.34	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $594.34 / $594.34 / $594.34	Professional		$594.34	$594.34	$594.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $487.67 / $487.67 / $487.67	Facility		$487.67	$487.67	$487.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $418.25 / $632.05 / $1,584.44	Professional		$418.25	$632.05	$1,584.44
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $672.00 / $1,148.58	Facility		$332.00	$672.00	$1,148.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $469.96 / $667.24 / $985.23	Professional		$469.96	$667.24	$985.23
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $403.57 / $403.57 / $403.57	Facility		$403.57	$403.57	$403.57
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $341.18 / $514.52 / $907.62	Professional		$341.18	$514.52	$907.62
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $487.67 / $555.00 / $597.00	Facility		$487.67	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $433.91 / $623.54 / $1,433.60	Professional		$433.91	$623.54	$1,433.60
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,248.00 / $11,200.00	Facility		$2,264.00	$5,248.00	$11,200.00
United Facility/Professional Professional Modifier Low / Median / High Price $365.99 / $536.17 / $1,425.13	Professional		$365.99	$536.17	$1,425.13
Univera Facility/Professional Facility Modifier Low / Median / High Price $514.52 / $514.52 / $1,815.73	Facility		$514.52	$514.52	$1,815.73
Univera Facility/Professional Professional Modifier Low / Median / High Price $341.18 / $562.41 / $1,087.60	Professional		$341.18	$562.41	$1,087.60