Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $376.53 / $3,414.00 / $9,038.00	Facility		$376.53	$3,414.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $270.76 / $415.13 / $694.63	Professional		$270.76	$415.13	$694.63
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 $326.27 / $414.39 / $947.79	Professional		$326.27	$414.39	$947.79
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $393.42 / $1,990.00 / $8,917.50	Facility		$393.42	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $393.42 / $393.42 / $603.02	Professional		$393.42	$393.42	$603.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.18 / $478.18 / $478.18	Facility		$478.18	$478.18	$478.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $290.30 / $525.16 / $1,321.78	Professional		$290.30	$525.16	$1,321.78
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $265.00 / $332.00 / $727.40	Facility		$265.00	$332.00	$727.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $451.44 / $627.01 / $919.88	Professional		$451.44	$627.01	$919.88
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $387.67 / $387.67 / $387.67	Facility		$387.67	$387.67	$387.67
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.78 / $425.97 / $884.03	Professional		$346.78	$425.97	$884.03
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $478.18 / $555.00 / $597.00	Facility		$478.18	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $321.38 / $559.19 / $1,321.43	Professional		$321.38	$559.19	$1,321.43
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 $378.40 / $525.54 / $1,251.43	Professional		$378.40	$525.54	$1,251.43
Univera Facility/Professional Facility Modifier Low / Median / High Price $339.64 / $339.64 / $1,389.58	Facility		$339.64	$339.64	$1,389.58
Univera Facility/Professional Professional Modifier Low / Median / High Price $346.78 / $540.26 / $884.03	Professional		$346.78	$540.26	$884.03