Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $550.91 / $3,516.00 / $9,038.00	Facility		$550.91	$3,516.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $361.82 / $430.35 / $796.66	Professional		$361.82	$430.35	$796.66
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 $314.60 / $411.25 / $950.96	Professional		$314.60	$411.25	$950.96
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $578.24 / $1,254.00 / $4,050.00	Facility		$578.24	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $578.24 / $578.24 / $578.24	Professional		$578.24	$578.24	$578.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $476.15 / $476.15 / $476.15	Facility		$476.15	$476.15	$476.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $405.37 / $604.44 / $1,526.87	Professional		$405.37	$604.44	$1,526.87
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $170.00 / $332.00 / $1,121.63	Facility		$170.00	$332.00	$1,121.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $458.71 / $651.63 / $962.11	Professional		$458.71	$651.63	$962.11
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $393.91 / $393.91 / $393.91	Facility		$393.91	$393.91	$393.91
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $319.02 / $500.70 / $883.25	Professional		$319.02	$500.70	$883.25
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $476.15 / $555.00 / $597.00	Facility		$476.15	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $419.72 / $604.44 / $1,402.46	Professional		$419.72	$604.44	$1,402.46
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.00 / $3,496.00 / $6,201.00	Facility		$1,348.00	$3,496.00	$6,201.00
United Facility/Professional Professional Modifier Low / Median / High Price $358.57 / $520.13 / $1,268.30	Professional		$358.57	$520.13	$1,268.30
Univera Facility/Professional Facility Modifier Low / Median / High Price $500.70 / $500.70 / $1,704.07	Facility		$500.70	$500.70	$1,704.07
Univera Facility/Professional Professional Modifier Low / Median / High Price $319.02 / $548.96 / $1,058.41	Professional		$319.02	$548.96	$1,058.41