Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.34 / $2,626.00 / $7,307.00	Facility		$371.34	$2,626.00	$7,307.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $280.91 / $420.74 / $714.69	Professional		$280.91	$420.74	$714.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,651.00 / $3,263.00 / $4,636.00	Facility		$1,651.00	$3,263.00	$4,636.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.45 / $395.58 / $911.92	Professional		$316.45	$395.58	$911.92
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $398.97 / $1,254.00 / $4,050.00	Facility		$398.97	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $398.97 / $398.97 / $601.40	Professional		$398.97	$398.97	$601.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $483.77 / $483.77 / $3,479.91	Facility		$483.77	$483.77	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $299.69 / $546.38 / $1,269.65	Professional		$299.69	$546.38	$1,269.65
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $319.00 / $748.76	Facility		$75.00	$319.00	$748.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $440.64 / $572.79 / $857.22	Professional		$440.64	$572.79	$857.22
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $395.03 / $395.03 / $482.13	Facility		$395.03	$395.03	$482.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $315.52 / $507.36 / $787.43	Professional		$315.52	$507.36	$787.43
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $483.77 / $555.00 / $3,479.91	Facility		$483.77	$555.00	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $323.10 / $573.75 / $1,239.68	Professional		$323.10	$573.75	$1,239.68
United Facility/Professional Facility Modifier Low / Median / High Price $671.00 / $2,597.00 / $4,840.00	Facility		$671.00	$2,597.00	$4,840.00
United Facility/Professional Professional Modifier Low / Median / High Price $334.02 / $488.27 / $1,146.77	Professional		$334.02	$488.27	$1,146.77
Univera Facility/Professional Facility Modifier Low / Median / High Price $343.49 / $343.49 / $866.73	Facility		$343.49	$343.49	$866.73
Univera Facility/Professional Professional Modifier Low / Median / High Price $315.52 / $569.03 / $866.73	Professional		$315.52	$569.03	$866.73