Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $393.31 / $2,660.00 / $7,521.00	Facility		$393.31	$2,660.00	$7,521.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $310.26 / $385.95 / $676.72	Professional		$310.26	$385.95	$676.72
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 $288.36 / $365.64 / $844.26	Professional		$288.36	$365.64	$844.26
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $477.24 / $1,254.00 / $4,050.00	Facility		$477.24	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $477.24 / $477.24 / $533.58	Professional		$477.24	$477.24	$533.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $584.02 / $584.02 / $584.02	Facility		$584.02	$584.02	$584.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.46 / $513.13 / $1,299.04	Professional		$346.46	$513.13	$1,299.04
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $230.00 / $368.00 / $934.31	Facility		$230.00	$368.00	$934.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $425.93 / $605.19 / $892.84	Professional		$425.93	$605.19	$892.84
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $365.76 / $365.76 / $365.76	Facility		$365.76	$365.76	$365.76
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.06 / $465.28 / $820.76	Professional		$269.06	$465.28	$820.76
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $584.02 / $597.00	Facility		$555.00	$584.02	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $355.71 / $530.35 / $1,275.64	Professional		$355.71	$530.35	$1,275.64
United Facility/Professional Facility Modifier Low / Median / High Price $1,768.00 / $3,961.00 / $8,312.00	Facility		$1,768.00	$3,961.00	$8,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $328.37 / $474.48 / $1,135.20	Professional		$328.37	$474.48	$1,135.20
Univera Facility/Professional Facility Modifier Low / Median / High Price $417.10 / $417.10 / $1,325.01	Facility		$417.10	$417.10	$1,325.01
Univera Facility/Professional Professional Modifier Low / Median / High Price $316.39 / $509.72 / $886.72	Professional		$316.39	$509.72	$886.72