Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $365.68 / $2,660.00 / $7,343.00	Facility		$365.68	$2,660.00	$7,343.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $244.16 / $389.46 / $679.21	Professional		$244.16	$389.46	$679.21
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 $332.53 / $422.34 / $912.17	Professional		$332.53	$422.34	$912.17
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $373.79 / $1,254.00 / $4,050.00	Facility		$373.79	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $373.79 / $373.79 / $598.66	Professional		$373.79	$373.79	$598.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $452.86 / $452.86 / $452.86	Facility		$452.86	$452.86	$452.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.41 / $505.65 / $1,267.56	Professional		$275.41	$505.65	$1,267.56
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $285.57 / $390.00 / $799.50	Facility		$285.57	$390.00	$799.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $446.26 / $621.51 / $912.14	Professional		$446.26	$621.51	$912.14
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $383.22 / $383.22 / $383.22	Facility		$383.22	$383.22	$383.22
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $314.69 / $488.67 / $872.22	Professional		$314.69	$488.67	$872.22
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $452.86 / $555.00 / $597.00	Facility		$452.86	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $300.08 / $530.21 / $1,267.33	Professional		$300.08	$530.21	$1,267.33
United Facility/Professional Facility Modifier Low / Median / High Price $2,160.00 / $4,114.00 / $8,841.00	Facility		$2,160.00	$4,114.00	$8,841.00
United Facility/Professional Professional Modifier Low / Median / High Price $373.59 / $520.66 / $1,299.32	Professional		$373.59	$520.66	$1,299.32
Univera Facility/Professional Facility Modifier Low / Median / High Price $321.89 / $321.89 / $1,235.71	Facility		$321.89	$321.89	$1,235.71
Univera Facility/Professional Professional Modifier Low / Median / High Price $314.69 / $514.23 / $872.22	Professional		$314.69	$514.23	$872.22