Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $458.35 / $2,884.50 / $7,773.00	Facility		$458.35	$2,884.50	$7,773.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $342.25 / $493.08 / $886.31	Professional		$342.25	$493.08	$886.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,070.00 / $6,992.00 / $12,173.00	Facility		$4,070.00	$6,992.00	$12,173.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $351.30 / $437.02 / $1,061.31	Professional		$351.30	$437.02	$1,061.31
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $507.40 / $507.40 / $8,917.50	Facility		$507.40	$507.40	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $507.40 / $507.40 / $746.13	Professional		$507.40	$507.40	$746.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.29 / $616.29 / $7,227.90	Facility		$616.29	$616.29	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $352.25 / $650.25 / $1,507.40	Professional		$352.25	$650.25	$1,507.40
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $286.00 / $343.20 / $981.18	Facility		$286.00	$343.20	$981.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $599.01 / $731.35 / $1,070.04	Professional		$599.01	$731.35	$1,070.04
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $490.99 / $490.99 / $490.99	Facility		$490.99	$490.99	$490.99
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $392.79 / $564.64 / $981.32	Professional		$392.79	$564.64	$981.32
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $616.29 / $7,227.90	Facility		$597.00	$616.29	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $380.81 / $684.73 / $1,446.98	Professional		$380.81	$684.73	$1,446.98
United Facility/Professional Facility Modifier Low / Median / High Price $1,652.00 / $3,972.00 / $9,202.00	Facility		$1,652.00	$3,972.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $410.67 / $590.23 / $1,319.06	Professional		$410.67	$590.23	$1,319.06
Univera Facility/Professional Facility Modifier Low / Median / High Price $440.78 / $440.78 / $1,192.41	Facility		$440.78	$440.78	$1,192.41
Univera Facility/Professional Professional Modifier Low / Median / High Price $392.79 / $709.14 / $1,115.38	Professional		$392.79	$709.14	$1,115.38