Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,668.00 / $4,043.00 / $9,661.00	Facility		$1,668.00	$4,043.00	$9,661.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $279.06 / $323.11 / $429.62	Professional		$279.06	$323.11	$429.62
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 $245.91 / $298.14 / $491.83	Professional		$245.91	$298.14	$491.83
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $413.51 / $413.51 / $6,213.00	Facility		$413.51	$413.51	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $413.51 / $413.51 / $413.51	Professional		$413.51	$413.51	$413.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $346.31 / $346.31 / $7,227.90	Facility		$346.31	$346.31	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $249.42 / $491.01 / $1,112.56	Professional		$249.42	$491.01	$1,112.56
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $245.00 / $332.00 / $1,288.50	Facility		$245.00	$332.00	$1,288.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $704.10 / $915.33 / $1,527.90	Professional		$704.10	$915.33	$1,527.90
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $284.48 / $284.48 / $1,395.63	Facility		$284.48	$284.48	$1,395.63
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $227.58 / $365.90 / $567.88	Professional		$227.58	$365.90	$567.88
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $346.31 / $555.00 / $7,227.90	Facility		$346.31	$555.00	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $283.81 / $436.89 / $1,041.09	Professional		$283.81	$436.89	$1,041.09
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 $254.94 / $361.35 / $813.90	Professional		$254.94	$361.35	$813.90
Univera Facility/Professional Facility Modifier Low / Median / High Price $365.90 / $365.90 / $1,395.63	Facility		$365.90	$365.90	$1,395.63
Univera Facility/Professional Professional Modifier Low / Median / High Price $227.58 / $410.37 / $777.87	Professional		$227.58	$410.37	$777.87