Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $345.45 / $2,626.00 / $7,307.00	Facility		$345.45	$2,626.00	$7,307.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $273.20 / $393.26 / $694.22	Professional		$273.20	$393.26	$694.22
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 $280.89 / $354.87 / $867.75	Professional		$280.89	$354.87	$867.75
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $406.13 / $406.13 / $4,050.00	Facility		$406.13	$406.13	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $406.13 / $406.13 / $603.79	Professional		$406.13	$406.13	$603.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $451.65 / $451.65 / $3,479.91	Facility		$451.65	$451.65	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $270.76 / $519.62 / $1,241.08	Professional		$270.76	$519.62	$1,241.08
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $320.00 / $707.60	Facility		$200.00	$320.00	$707.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $417.19 / $541.95 / $811.06	Professional		$417.19	$541.95	$811.06
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $373.76 / $373.76 / $373.76	Facility		$373.76	$373.76	$373.76
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $260.77 / $486.63 / $755.25	Professional		$260.77	$486.63	$755.25
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $451.65 / $555.00 / $3,479.91	Facility		$451.65	$555.00	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $283.68 / $541.85 / $1,141.00	Professional		$283.68	$541.85	$1,141.00
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 $313.04 / $464.30 / $1,027.85	Professional		$313.04	$464.30	$1,027.85
Univera Facility/Professional Facility Modifier Low / Median / High Price $330.65 / $330.65 / $935.07	Facility		$330.65	$330.65	$935.07
Univera Facility/Professional Professional Modifier Low / Median / High Price $260.77 / $545.77 / $858.42	Professional		$260.77	$545.77	$858.42