Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $541.66 / $4,043.00 / $10,170.00	Facility		$541.66	$4,043.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $391.75 / $464.92 / $847.69	Professional		$391.75	$464.92	$847.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,749.00 / $9,877.00 / $16,490.00	Facility		$4,749.00	$9,877.00	$16,490.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $350.41 / $458.06 / $1,038.92	Professional		$350.41	$458.06	$1,038.92
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $604.60 / $1,990.00 / $8,917.50	Facility		$604.60	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $604.60 / $604.60 / $604.60	Professional		$604.60	$604.60	$604.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $487.10 / $487.10 / $487.10	Facility		$487.10	$487.10	$487.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $420.43 / $676.17 / $1,514.30	Professional		$420.43	$676.17	$1,514.30
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $640.00 / $1,090.19	Facility		$332.00	$640.00	$1,090.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $472.57 / $640.09 / $935.14	Professional		$472.57	$640.09	$935.14
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $405.81 / $405.81 / $405.81	Facility		$405.81	$405.81	$405.81
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $372.91 / $440.10 / $913.36	Professional		$372.91	$440.10	$913.36
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $487.10 / $555.00 / $597.00	Facility		$487.10	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $437.26 / $690.14 / $1,473.34	Professional		$437.26	$690.14	$1,473.34
United Facility/Professional Facility Modifier Low / Median / High Price $2,341.00 / $6,700.00 / $16,782.00	Facility		$2,341.00	$6,700.00	$16,782.00
United Facility/Professional Professional Modifier Low / Median / High Price $387.28 / $538.83 / $1,206.42	Professional		$387.28	$538.83	$1,206.42
Univera Facility/Professional Facility Modifier Low / Median / High Price $517.77 / $517.77 / $2,213.80	Facility		$517.77	$517.77	$2,213.80
Univera Facility/Professional Professional Modifier Low / Median / High Price $405.81 / $538.48 / $1,094.49	Professional		$405.81	$538.48	$1,094.49