Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $406.75 / $3,060.00 / $8,134.00	Facility		$406.75	$3,060.00	$8,134.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $274.67 / $414.20 / $697.21	Professional		$274.67	$414.20	$697.21
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 $354.05 / $449.67 / $1,002.76	Professional		$354.05	$449.67	$1,002.76
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $415.64 / $1,716.00 / $6,213.00	Facility		$415.64	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $415.64 / $415.64 / $641.00	Professional		$415.64	$415.64	$641.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $503.06 / $503.06 / $503.06	Facility		$503.06	$503.06	$503.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $308.04 / $552.84 / $1,401.66	Professional		$308.04	$552.84	$1,401.66
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $345.00 / $765.45	Facility		$300.00	$345.00	$765.45
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $477.33 / $663.42 / $973.47	Professional		$477.33	$663.42	$973.47
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $409.90 / $409.90 / $409.90	Facility		$409.90	$409.90	$409.90
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $351.97 / $530.72 / $936.20	Professional		$351.97	$530.72	$936.20
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $503.06 / $555.00 / $597.00	Facility		$503.06	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $336.74 / $595.27 / $1,401.66	Professional		$336.74	$595.27	$1,401.66
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 $391.76 / $559.46 / $1,355.31	Professional		$391.76	$559.46	$1,355.31
Univera Facility/Professional Facility Modifier Low / Median / High Price $356.97 / $356.97 / $1,480.44	Facility		$356.97	$356.97	$1,480.44
Univera Facility/Professional Professional Modifier Low / Median / High Price $351.97 / $571.24 / $936.20	Professional		$351.97	$571.24	$936.20