Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $340.11 / $3,414.00 / $8,670.00	Facility		$340.11	$3,414.00	$8,670.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $276.13 / $328.13 / $716.20	Professional		$276.13	$328.13	$716.20
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 $251.19 / $318.50 / $736.96	Professional		$251.19	$318.50	$736.96
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $395.55 / $1,990.00 / $8,917.50	Facility		$395.55	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $395.55 / $395.55 / $446.15	Professional		$395.55	$395.55	$446.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $480.02 / $480.02 / $480.02	Facility		$480.02	$480.02	$480.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $289.31 / $467.22 / $1,079.03	Professional		$289.31	$467.22	$1,079.03
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $300.70 / $727.47	Facility		$65.00	$300.70	$727.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $349.99 / $480.82 / $704.16	Professional		$349.99	$480.82	$704.16
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $300.55 / $300.55 / $300.55	Facility		$300.55	$300.55	$300.55
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $267.79 / $382.67 / $675.03	Professional		$267.79	$382.67	$675.03
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $480.02 / $555.00 / $597.00	Facility		$480.02	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $299.25 / $469.74 / $1,079.03	Professional		$299.25	$469.74	$1,079.03
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 $284.12 / $408.62 / $1,001.96	Professional		$284.12	$408.62	$1,001.96
Univera Facility/Professional Facility Modifier Low / Median / High Price $340.02 / $340.02 / $916.46	Facility		$340.02	$340.02	$916.46
Univera Facility/Professional Professional Modifier Low / Median / High Price $275.47 / $418.84 / $722.85	Professional		$275.47	$418.84	$722.85