Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $552.13 / $3,060.00 / $8,134.00	Facility		$552.13	$3,060.00	$8,134.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $408.51 / $470.92 / $920.95	Professional		$408.51	$470.92	$920.95
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 $352.87 / $461.27 / $1,075.30	Professional		$352.87	$461.27	$1,075.30
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $637.24 / $1,254.00 / $4,050.00	Facility		$637.24	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $637.24 / $637.24 / $637.24	Professional		$637.24	$637.24	$637.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $520.03 / $520.03 / $520.03	Facility		$520.03	$520.03	$520.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $451.84 / $677.92 / $1,691.49	Professional		$451.84	$677.92	$1,691.49
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $560.00 / $1,226.11	Facility		$332.00	$560.00	$1,226.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $500.96 / $712.03 / $1,051.73	Professional		$500.96	$712.03	$1,051.73
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $430.19 / $430.19 / $430.19	Facility		$430.19	$430.19	$430.19
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $369.33 / $547.77 / $966.27	Professional		$369.33	$547.77	$966.27
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $520.03 / $555.00 / $597.00	Facility		$520.03	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $466.28 / $672.98 / $1,563.19	Professional		$466.28	$672.98	$1,563.19
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 $398.25 / $580.42 / $1,455.55	Professional		$398.25	$580.42	$1,455.55
Univera Facility/Professional Facility Modifier Low / Median / High Price $547.77 / $547.77 / $1,982.68	Facility		$547.77	$547.77	$1,982.68
Univera Facility/Professional Professional Modifier Low / Median / High Price $372.48 / $599.52 / $1,157.89	Professional		$372.48	$599.52	$1,157.89