Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $634.46 / $3,490.00 / $8,134.00	Facility		$634.46	$3,490.00	$8,134.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $434.12 / $514.54 / $897.71	Professional		$434.12	$514.54	$897.71
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 $380.20 / $497.00 / $1,151.85	Professional		$380.20	$497.00	$1,151.85
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $693.20 / $1,254.00 / $4,050.00	Facility		$693.20	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $693.20 / $693.20 / $693.20	Professional		$693.20	$693.20	$693.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $568.02 / $568.02 / $568.02	Facility		$568.02	$568.02	$568.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $485.79 / $722.71 / $1,840.42	Professional		$485.79	$722.71	$1,840.42
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $125.00 / $332.00 / $1,338.50	Facility		$125.00	$332.00	$1,338.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $547.28 / $777.44 / $1,148.14	Professional		$547.28	$777.44	$1,148.14
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $469.97 / $469.97 / $469.97	Facility		$469.97	$469.97	$469.97
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $379.06 / $508.16 / $1,054.60	Professional		$379.06	$508.16	$1,054.60
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $568.02 / $597.00	Facility		$555.00	$568.02	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $505.62 / $722.71 / $1,691.83	Professional		$505.62	$722.71	$1,691.83
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 $431.84 / $626.78 / $1,578.39	Professional		$431.84	$626.78	$1,578.39
Univera Facility/Professional Facility Modifier Low / Median / High Price $597.84 / $597.84 / $1,310.59	Facility		$597.84	$597.84	$1,310.59
Univera Facility/Professional Professional Modifier Low / Median / High Price $406.53 / $654.95 / $1,263.74	Professional		$406.53	$654.95	$1,263.74