Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $386.80 / $2,626.00 / $7,307.00	Facility		$386.80	$2,626.00	$7,307.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $296.11 / $434.73 / $787.17	Professional		$296.11	$434.73	$787.17
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 $315.68 / $397.62 / $954.97	Professional		$315.68	$397.62	$954.97
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $446.93 / $446.93 / $6,213.00	Facility		$446.93	$446.93	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $446.93 / $446.93 / $673.24	Professional		$446.93	$446.93	$673.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $522.47 / $522.47 / $7,227.90	Facility		$522.47	$522.47	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $308.14 / $579.36 / $1,354.19	Professional		$308.14	$579.36	$1,354.19
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $379.41 / $828.38	Facility		$319.00	$379.41	$828.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $491.00 / $635.26 / $943.82	Professional		$491.00	$635.26	$943.82
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $433.17 / $433.17 / $433.17	Facility		$433.17	$433.17	$433.17
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.66 / $558.79 / $867.26	Professional		$309.66	$558.79	$867.26
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $522.47 / $555.00 / $7,227.90	Facility		$522.47	$555.00	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $341.29 / $611.12 / $1,272.68	Professional		$341.29	$611.12	$1,272.68
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 $369.33 / $538.63 / $1,166.18	Professional		$369.33	$538.63	$1,166.18
Univera Facility/Professional Facility Modifier Low / Median / High Price $374.79 / $374.79 / $1,137.28	Facility		$374.79	$374.79	$1,137.28
Univera Facility/Professional Professional Modifier Low / Median / High Price $309.66 / $626.72 / $985.73	Professional		$309.66	$626.72	$985.73