Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $559.08 / $2,952.00 / $7,735.00	Facility		$559.08	$2,952.00	$7,735.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $392.40 / $496.56 / $883.71	Professional		$392.40	$496.56	$883.71
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 $360.52 / $442.99 / $1,022.49	Professional		$360.52	$442.99	$1,022.49
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $649.49 / $1,254.00 / $4,050.00	Facility		$649.49	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $649.49 / $649.49 / $649.49	Professional		$649.49	$649.49	$649.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $509.64 / $509.64 / $3,479.91	Facility		$509.64	$509.64	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.39 / $682.33 / $1,580.06	Professional		$354.39	$682.33	$1,580.06
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $409.20 / $1,186.65	Facility		$319.00	$409.20	$1,186.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $474.66 / $618.73 / $916.04	Professional		$474.66	$618.73	$916.04
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $422.14 / $422.14 / $482.13	Facility		$422.14	$422.14	$482.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $365.97 / $542.73 / $842.31	Professional		$365.97	$542.73	$842.31
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $509.64 / $555.00 / $3,714.60	Facility		$509.64	$555.00	$3,714.60
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $368.43 / $650.00 / $1,524.41	Professional		$368.43	$650.00	$1,524.41
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 $362.90 / $493.04 / $1,144.97	Professional		$362.90	$493.04	$1,144.97
Univera Facility/Professional Facility Modifier Low / Median / High Price $482.13 / $542.73 / $1,768.81	Facility		$482.13	$542.73	$1,768.81
Univera Facility/Professional Professional Modifier Low / Median / High Price $365.97 / $608.69 / $1,153.79	Professional		$365.97	$608.69	$1,153.79