Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $413.01 / $2,952.00 / $8,134.00	Facility		$413.01	$2,952.00	$8,134.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $277.68 / $428.39 / $733.64	Professional		$277.68	$428.39	$733.64
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 $327.39 / $415.80 / $940.49	Professional		$327.39	$415.80	$940.49
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $393.16 / $1,716.00 / $6,213.00	Facility		$393.16	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $393.16 / $393.16 / $598.94	Professional		$393.16	$393.16	$598.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $477.61 / $477.61 / $477.61	Facility		$477.61	$477.61	$477.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $299.30 / $534.79 / $1,311.25	Professional		$299.30	$534.79	$1,311.25
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $298.13 / $384.00 / $719.08	Facility		$298.13	$384.00	$719.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $449.91 / $621.03 / $909.72	Professional		$449.91	$621.03	$909.72
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $386.35 / $386.35 / $386.35	Facility		$386.35	$386.35	$386.35
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.88 / $498.96 / $880.17	Professional		$354.88	$498.96	$880.17
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $477.61 / $555.00 / $597.00	Facility		$477.61	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $325.27 / $562.12 / $1,318.85	Professional		$325.27	$562.12	$1,318.85
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 $380.39 / $535.54 / $1,309.43	Professional		$380.39	$535.54	$1,309.43
Univera Facility/Professional Facility Modifier Low / Median / High Price $339.82 / $339.82 / $1,481.24	Facility		$339.82	$339.82	$1,481.24
Univera Facility/Professional Professional Modifier Low / Median / High Price $365.56 / $538.41 / $880.17	Professional		$365.56	$538.41	$880.17