Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $422.39 / $2,942.87 / $8,020.00	Facility		$422.39	$2,942.87	$8,020.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $300.69 / $450.73 / $838.36	Professional		$300.69	$450.73	$838.36
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 $346.48 / $440.05 / $993.18	Professional		$346.48	$440.05	$993.18
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $428.21 / $428.21 / $4,050.00	Facility		$428.21	$428.21	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $428.21 / $428.21 / $644.97	Professional		$428.21	$428.21	$644.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $521.14 / $521.14 / $521.14	Facility		$521.14	$521.14	$521.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $320.92 / $562.35 / $1,451.54	Professional		$320.92	$562.35	$1,451.54
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $326.48 / $390.00 / $799.50	Facility		$326.48	$390.00	$799.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $484.13 / $671.75 / $985.36	Professional		$484.13	$671.75	$985.36
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $415.74 / $415.74 / $415.74	Facility		$415.74	$415.74	$415.74
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $358.96 / $459.43 / $953.46	Professional		$358.96	$459.43	$953.46
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $521.14 / $555.00 / $597.00	Facility		$521.14	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $354.87 / $606.34 / $1,423.77	Professional		$354.87	$606.34	$1,423.77
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 $394.83 / $563.30 / $1,366.69	Professional		$394.83	$563.30	$1,366.69
Univera Facility/Professional Facility Modifier Low / Median / High Price $371.50 / $371.50 / $1,500.54	Facility		$371.50	$371.50	$1,500.54
Univera Facility/Professional Professional Modifier Low / Median / High Price $367.54 / $579.38 / $953.46	Professional		$367.54	$579.38	$953.46