Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $415.21 / $2,626.00 / $7,307.00	Facility		$415.21	$2,626.00	$7,307.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $307.16 / $420.31 / $779.45	Professional		$307.16	$420.31	$779.45
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 $331.76 / $400.52 / $926.11	Professional		$331.76	$400.52	$926.11
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $428.75 / $1,254.00 / $4,050.00	Facility		$428.75	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $428.75 / $428.75 / $574.37	Professional		$428.75	$428.75	$574.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $508.30 / $508.30 / $3,479.91	Facility		$508.30	$508.30	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.27 / $579.37 / $1,258.58	Professional		$295.27	$579.37	$1,258.58
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $321.48 / $779.22	Facility		$65.00	$321.48	$779.22
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $415.09 / $551.32 / $815.33	Professional		$415.09	$551.32	$815.33
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $375.73 / $375.73 / $482.13	Facility		$375.73	$375.73	$482.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $342.03 / $432.09 / $742.63	Professional		$342.03	$432.09	$742.63
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $508.30 / $555.00 / $3,479.91	Facility		$508.30	$555.00	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $302.39 / $575.00 / $1,230.13	Professional		$302.39	$575.00	$1,230.13
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 $327.84 / $476.36 / $1,028.58	Professional		$327.84	$476.36	$1,028.58
Univera Facility/Professional Facility Modifier Low / Median / High Price $359.64 / $359.64 / $982.50	Facility		$359.64	$359.64	$982.50
Univera Facility/Professional Professional Modifier Low / Median / High Price $342.03 / $504.61 / $844.08	Professional		$342.03	$504.61	$844.08