Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $305.33 / $2,518.00 / $7,307.00	Facility		$305.33	$2,518.00	$7,307.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $228.88 / $340.76 / $577.62	Professional		$228.88	$340.76	$577.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,373.00 / $4,085.00 / $8,281.00	Facility		$2,373.00	$4,085.00	$8,281.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $267.43 / $332.98 / $767.16	Professional		$267.43	$332.98	$767.16
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $312.99 / $1,254.00 / $4,050.00	Facility		$312.99	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $312.99 / $312.99 / $472.94	Professional		$312.99	$312.99	$472.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $378.98 / $378.98 / $3,479.91	Facility		$378.98	$378.98	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $237.65 / $470.31 / $1,022.48	Professional		$237.65	$470.31	$1,022.48
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $275.57 / $577.44	Facility		$75.00	$275.57	$577.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $341.02 / $447.88 / $669.84	Professional		$341.02	$447.88	$669.84
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $308.68 / $308.68 / $482.13	Facility		$308.68	$308.68	$482.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $285.63 / $393.73 / $611.07	Professional		$285.63	$393.73	$611.07
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $378.98 / $555.00 / $3,479.91	Facility		$378.98	$555.00	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $266.77 / $474.02 / $988.20	Professional		$266.77	$474.02	$988.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,269.00 / $3,612.00 / $8,133.00	Facility		$1,269.00	$3,612.00	$8,133.00
United Facility/Professional Professional Modifier Low / Median / High Price $271.88 / $385.85 / $850.93	Professional		$271.88	$385.85	$850.93
Univera Facility/Professional Facility Modifier Low / Median / High Price $266.98 / $266.98 / $735.44	Facility		$266.98	$266.98	$735.44
Univera Facility/Professional Professional Modifier Low / Median / High Price $290.17 / $441.59 / $694.55	Professional		$290.17	$441.59	$694.55