Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $379.27 / $2,942.87 / $8,134.00	Facility		$379.27	$2,942.87	$8,134.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $260.64 / $403.28 / $684.78	Professional		$260.64	$403.28	$684.78
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 $349.62 / $447.93 / $958.35	Professional		$349.62	$447.93	$958.35
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $400.27 / $1,716.00 / $6,213.00	Facility		$400.27	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $400.27 / $400.27 / $636.13	Professional		$400.27	$400.27	$636.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $436.98 / $436.98 / $436.98	Facility		$436.98	$436.98	$436.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.23 / $522.92 / $1,331.05	Professional		$281.23	$522.92	$1,331.05
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $272.39 / $359.00 / $655.99	Facility		$272.39	$359.00	$655.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $420.01 / $579.15 / $848.10	Professional		$420.01	$579.15	$848.10
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $360.68 / $360.68 / $360.68	Facility		$360.68	$360.68	$360.68
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $342.00 / $467.33 / $824.39	Professional		$342.00	$467.33	$824.39
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $436.98 / $555.00 / $597.00	Facility		$436.98	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $305.80 / $561.66 / $1,331.05	Professional		$305.80	$561.66	$1,331.05
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 $382.28 / $555.86 / $1,387.08	Professional		$382.28	$555.86	$1,387.08
Univera Facility/Professional Facility Modifier Low / Median / High Price $311.75 / $311.75 / $1,387.28	Facility		$311.75	$311.75	$1,387.28
Univera Facility/Professional Professional Modifier Low / Median / High Price $342.00 / $502.64 / $824.39	Professional		$342.00	$502.64	$824.39