Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $522.60 / $4,392.00 / $10,024.00	Facility		$522.60	$4,392.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $348.35 / $402.43 / $799.61	Professional		$348.35	$402.43	$799.61
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 $324.79 / $411.83 / $940.30	Professional		$324.79	$411.83	$940.30
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $545.20 / $1,990.00 / $8,917.50	Facility		$545.20	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $545.20 / $545.20 / $545.20	Professional		$545.20	$545.20	$545.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $451.96 / $451.96 / $451.96	Facility		$451.96	$451.96	$451.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $385.65 / $586.79 / $1,442.30	Professional		$385.65	$586.79	$1,442.30
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $315.00 / $430.70 / $1,064.57	Facility		$315.00	$430.70	$1,064.57
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $435.48 / $618.46 / $913.16	Professional		$435.48	$618.46	$913.16
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $373.96 / $373.96 / $373.96	Facility		$373.96	$373.96	$373.96
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $308.48 / $473.45 / $835.18	Professional		$308.48	$473.45	$835.18
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $451.96 / $555.00 / $597.00	Facility		$451.96	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $390.75 / $584.54 / $1,415.06	Professional		$390.75	$584.54	$1,415.06
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 $343.49 / $496.15 / $1,214.78	Professional		$343.49	$496.15	$1,214.78
Univera Facility/Professional Facility Modifier Low / Median / High Price $473.45 / $473.45 / $1,576.77	Facility		$473.45	$473.45	$1,576.77
Univera Facility/Professional Professional Modifier Low / Median / High Price $308.48 / $521.15 / $1,000.80	Professional		$308.48	$521.15	$1,000.80