Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $595.23 / $3,841.00 / $9,038.00	Facility		$595.23	$3,841.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $392.47 / $475.08 / $926.59	Professional		$392.47	$475.08	$926.59
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 $366.63 / $473.56 / $1,004.04	Professional		$366.63	$473.56	$1,004.04
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $642.34 / $1,716.00 / $6,213.00	Facility		$642.34	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $642.34 / $642.34 / $642.34	Professional		$642.34	$642.34	$642.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $523.39 / $523.39 / $523.39	Facility		$523.39	$523.39	$523.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $447.32 / $647.13 / $1,699.06	Professional		$447.32	$647.13	$1,699.06
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $220.00 / $352.00 / $1,233.63	Facility		$220.00	$352.00	$1,233.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $504.20 / $716.50 / $1,058.18	Professional		$504.20	$716.50	$1,058.18
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $432.98 / $432.98 / $432.98	Facility		$432.98	$432.98	$432.98
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $353.54 / $551.75 / $973.29	Professional		$353.54	$551.75	$973.29
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $523.39 / $555.00 / $597.00	Facility		$523.39	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $466.00 / $648.85 / $1,592.22	Professional		$466.00	$648.85	$1,592.22
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 $399.78 / $594.84 / $1,414.92	Professional		$399.78	$594.84	$1,414.92
Univera Facility/Professional Facility Modifier Low / Median / High Price $551.75 / $551.75 / $1,931.14	Facility		$551.75	$551.75	$1,931.14
Univera Facility/Professional Professional Modifier Low / Median / High Price $353.54 / $603.40 / $1,166.30	Professional		$353.54	$603.40	$1,166.30