Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,508.00 / $3,859.00 / $9,038.00	Facility		$1,508.00	$3,859.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.03 / $259.02 / $320.92	Professional		$223.03	$259.02	$320.92
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 $193.15 / $239.77 / $391.40	Professional		$193.15	$239.77	$391.40
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $330.74 / $330.74 / $6,213.00	Facility		$330.74	$330.74	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $330.74 / $330.74 / $330.74	Professional		$330.74	$330.74	$330.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $277.02 / $277.02 / $3,479.91	Facility		$277.02	$277.02	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.73 / $398.44 / $890.54	Professional		$199.73	$398.44	$890.54
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $250.00 / $332.00 / $1,030.80	Facility		$250.00	$332.00	$1,030.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $563.28 / $732.26 / $1,222.32	Professional		$563.28	$732.26	$1,222.32
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $227.55 / $227.55 / $227.55	Facility		$227.55	$227.55	$227.55
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $182.04 / $292.64 / $454.19	Professional		$182.04	$292.64	$454.19
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $277.02 / $555.00 / $3,714.60	Facility		$277.02	$555.00	$3,714.60
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $227.04 / $450.00 / $888.32	Professional		$227.04	$450.00	$888.32
United Facility/Professional Facility Modifier Low / Median / High Price $1,815.00 / $3,963.00 / $7,939.00	Facility		$1,815.00	$3,963.00	$7,939.00
United Facility/Professional Professional Modifier Low / Median / High Price $204.29 / $283.74 / $650.76	Professional		$204.29	$283.74	$650.76
Univera Facility/Professional Facility Modifier Low / Median / High Price $292.64 / $292.64 / $813.36	Facility		$292.64	$292.64	$813.36
Univera Facility/Professional Professional Modifier Low / Median / High Price $182.04 / $328.22 / $622.15	Professional		$182.04	$328.22	$622.15