Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $552.14 / $3,020.00 / $7,735.00	Facility		$552.14	$3,020.00	$7,735.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $390.43 / $470.09 / $921.52	Professional		$390.43	$470.09	$921.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,385.00 / $4,133.00 / $9,074.00	Facility		$2,385.00	$4,133.00	$9,074.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $344.29 / $450.06 / $1,070.90	Professional		$344.29	$450.06	$1,070.90
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $633.26 / $2,390.00 / $10,957.50	Facility		$633.26	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $633.26 / $633.26 / $633.26	Professional		$633.26	$633.26	$633.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $521.15 / $521.15 / $521.15	Facility		$521.15	$521.15	$521.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $442.04 / $642.86 / $1,671.29	Professional		$442.04	$642.86	$1,671.29
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $496.72 / $1,226.88	Facility		$332.00	$496.72	$1,226.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $496.72 / $712.92 / $1,052.39	Professional		$496.72	$712.92	$1,052.39
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $431.24 / $431.24 / $431.24	Facility		$431.24	$431.24	$431.24
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $333.78 / $549.24 / $968.87	Professional		$333.78	$549.24	$968.87
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $521.15 / $555.00 / $597.00	Facility		$521.15	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $433.88 / $642.86 / $1,537.48	Professional		$433.88	$642.86	$1,537.48
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 $393.33 / $568.96 / $1,391.84	Professional		$393.33	$568.96	$1,391.84
Univera Facility/Professional Facility Modifier Low / Median / High Price $549.24 / $549.24 / $1,208.51	Facility		$549.24	$549.24	$1,208.51
Univera Facility/Professional Professional Modifier Low / Median / High Price $333.78 / $571.21 / $1,161.01	Professional		$333.78	$571.21	$1,161.01