Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $374.21 / $5,069.00 / $11,396.00	Facility		$374.21	$5,069.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $254.26 / $289.88 / $610.13	Professional		$254.26	$289.88	$610.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,464.00 / $7,631.00 / $14,193.00	Facility		$4,464.00	$7,631.00	$14,193.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $230.00 / $300.66 / $680.28	Professional		$230.00	$300.66	$680.28
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $387.73 / $2,644.00 / $12,319.50	Facility		$387.73	$2,644.00	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $387.73 / $387.73 / $387.73	Professional		$387.73	$387.73	$387.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $310.14 / $310.14 / $14,648.00	Facility		$310.14	$310.14	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $273.32 / $440.39 / $1,053.65	Professional		$273.32	$440.39	$1,053.65
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $289.29 / $434.00 / $719.87	Facility		$289.29	$434.00	$719.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $294.27 / $417.41 / $617.48	Professional		$294.27	$417.41	$617.48
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $252.71 / $252.71 / $252.71	Facility		$252.71	$252.71	$252.71
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $220.56 / $274.56 / $569.79	Professional		$220.56	$274.56	$569.79
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $310.14 / $555.00 / $597.00	Facility		$310.14	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $289.80 / $445.02 / $978.02	Professional		$289.80	$445.02	$978.02
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 $247.25 / $362.98 / $967.18	Professional		$247.25	$362.98	$967.18
Univera Facility/Professional Facility Modifier Low / Median / High Price $323.01 / $323.01 / $1,417.44	Facility		$323.01	$323.01	$1,417.44
Univera Facility/Professional Professional Modifier Low / Median / High Price $249.32 / $352.17 / $682.79	Professional		$249.32	$352.17	$682.79