Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $334.85 / $2,660.00 / $7,521.00	Facility		$334.85	$2,660.00	$7,521.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $260.82 / $340.68 / $662.52	Professional		$260.82	$340.68	$662.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $3,373.00 / $4,707.00	Facility		$1,689.00	$3,373.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $258.83 / $328.20 / $736.37	Professional		$258.83	$328.20	$736.37
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $428.31 / $1,254.00 / $4,050.00	Facility		$428.31	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $428.31 / $428.31 / $481.78	Professional		$428.31	$428.31	$481.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $525.61 / $525.61 / $525.61	Facility		$525.61	$525.61	$525.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $301.19 / $451.97 / $1,164.14	Professional		$301.19	$451.97	$1,164.14
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $332.00 / $844.56	Facility		$150.00	$332.00	$844.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $383.21 / $528.71 / $809.85	Professional		$383.21	$528.71	$809.85
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $331.47 / $331.47 / $331.47	Facility		$331.47	$331.47	$331.47
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $225.17 / $358.15 / $743.26	Professional		$225.17	$358.15	$743.26
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $525.61 / $555.00 / $597.00	Facility		$525.61	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $311.80 / $476.17 / $1,148.81	Professional		$311.80	$476.17	$1,148.81
United Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,826.00 / $4,851.00	Facility		$964.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $295.57 / $426.93 / $1,069.78	Professional		$295.57	$426.93	$1,069.78
Univera Facility/Professional Facility Modifier Low / Median / High Price $375.94 / $375.94 / $1,090.52	Facility		$375.94	$375.94	$1,090.52
Univera Facility/Professional Professional Modifier Low / Median / High Price $278.82 / $461.93 / $799.21	Professional		$278.82	$461.93	$799.21