Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $308.39 / $2,394.00 / $7,307.00	Facility		$308.39	$2,394.00	$7,307.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $246.83 / $304.16 / $562.28	Professional		$246.83	$304.16	$562.28
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 $234.25 / $297.02 / $684.09	Professional		$234.25	$297.02	$684.09
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $380.62 / $1,254.00 / $4,050.00	Facility		$380.62	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $380.62 / $380.62 / $435.05	Professional		$380.62	$380.62	$435.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.46 / $466.46 / $466.46	Facility		$466.46	$466.46	$466.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.92 / $415.37 / $1,044.26	Professional		$272.92	$415.37	$1,044.26
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $250.00 / $332.00 / $748.60	Facility		$250.00	$332.00	$748.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $346.56 / $490.23 / $732.03	Professional		$346.56	$490.23	$732.03
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $299.86 / $299.86 / $299.86	Facility		$299.86	$299.86	$299.86
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $193.36 / $323.83 / $672.08	Professional		$193.36	$323.83	$672.08
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $466.46 / $555.00 / $597.00	Facility		$466.46	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $282.45 / $432.22 / $1,035.56	Professional		$282.45	$432.22	$1,035.56
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 $260.89 / $374.83 / $894.03	Professional		$260.89	$374.83	$894.03
Univera Facility/Professional Facility Modifier Low / Median / High Price $334.00 / $334.00 / $904.90	Facility		$334.00	$334.00	$904.90
Univera Facility/Professional Professional Modifier Low / Median / High Price $252.57 / $417.89 / $710.07	Professional		$252.57	$417.89	$710.07