Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $419.86 / $2,900.00 / $9,038.00	Facility		$419.86	$2,900.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $305.73 / $452.73 / $805.27	Professional		$305.73	$452.73	$805.27
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 $369.34 / $469.09 / $1,016.33	Professional		$369.34	$469.09	$1,016.33
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $428.35 / $1,716.00 / $6,213.00	Facility		$428.35	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $428.35 / $428.35 / $654.17	Professional		$428.35	$428.35	$654.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $530.53 / $530.53 / $530.53	Facility		$530.53	$530.53	$530.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $324.72 / $571.84 / $1,461.94	Professional		$324.72	$571.84	$1,461.94
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $321.00 / $425.00 / $811.51	Facility		$321.00	$425.00	$811.51
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $501.91 / $698.80 / $1,025.72	Professional		$501.91	$698.80	$1,025.72
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $431.01 / $431.01 / $431.01	Facility		$431.01	$431.01	$431.01
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $367.57 / $553.52 / $976.43	Professional		$367.57	$553.52	$976.43
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $530.53 / $555.00 / $597.00	Facility		$530.53	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $359.72 / $615.20 / $1,423.68	Professional		$359.72	$615.20	$1,423.68
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 $410.61 / $590.26 / $1,576.60	Professional		$410.61	$590.26	$1,576.60
Univera Facility/Professional Facility Modifier Low / Median / High Price $374.64 / $374.64 / $1,559.34	Facility		$374.64	$374.64	$1,559.34
Univera Facility/Professional Professional Modifier Low / Median / High Price $374.64 / $600.66 / $976.43	Professional		$374.64	$600.66	$976.43