Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $280.47 / $3,579.00 / $9,267.00	Facility		$280.47	$3,579.00	$9,267.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.57 / $290.77 / $543.00	Professional		$181.57	$290.77	$543.00
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 $261.91 / $332.64 / $697.42	Professional		$261.91	$332.64	$697.42
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $280.32 / $1,990.00 / $8,917.50	Facility		$280.32	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $280.32 / $280.32 / $445.52	Professional		$280.32	$280.32	$445.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $381.16 / $381.16 / $381.16	Facility		$381.16	$381.16	$381.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $222.25 / $402.06 / $1,008.66	Professional		$222.25	$402.06	$1,008.66
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $235.00 / $294.00 / $604.53	Facility		$235.00	$294.00	$604.53
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $384.85 / $527.32 / $807.72	Professional		$384.85	$527.32	$807.72
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $330.49 / $330.49 / $330.49	Facility		$330.49	$330.49	$330.49
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $248.40 / $424.52 / $748.87	Professional		$248.40	$424.52	$748.87
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $381.16 / $555.00 / $597.00	Facility		$381.16	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $240.42 / $422.02 / $1,046.28	Professional		$240.42	$422.02	$1,046.28
United Facility/Professional Facility Modifier Low / Median / High Price $2,062.00 / $5,299.00 / $9,788.16	Facility		$2,062.00	$5,299.00	$9,788.16
United Facility/Professional Professional Modifier Low / Median / High Price $278.27 / $401.96 / $951.44	Professional		$278.27	$401.96	$951.44
Univera Facility/Professional Facility Modifier Low / Median / High Price $269.33 / $269.33 / $1,020.00	Facility		$269.33	$269.33	$1,020.00
Univera Facility/Professional Professional Modifier Low / Median / High Price $248.40 / $460.57 / $748.87	Professional		$248.40	$460.57	$748.87