Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $329.29 / $1,819.00 / $8,134.00	Facility		$329.29	$1,819.00	$8,134.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $282.45 / $426.84 / $784.75	Professional		$282.45	$426.84	$784.75
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 $280.80 / $348.70 / $932.46	Professional		$280.80	$348.70	$932.46
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $420.59 / $420.59 / $6,213.00	Facility		$420.59	$420.59	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $420.59 / $420.59 / $661.23	Professional		$420.59	$420.59	$661.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $510.73 / $510.73 / $7,227.90	Facility		$510.73	$510.73	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.49 / $566.50 / $1,265.26	Professional		$292.49	$566.50	$1,265.26
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $250.00 / $332.00 / $814.59	Facility		$250.00	$332.00	$814.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $533.52 / $651.99 / $953.37	Professional		$533.52	$651.99	$953.37
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $437.31 / $437.31 / $437.31	Facility		$437.31	$437.31	$437.31
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $349.85 / $562.54 / $873.06	Professional		$349.85	$562.54	$873.06
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $510.73 / $555.00 / $7,227.90	Facility		$510.73	$555.00	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $302.08 / $598.52 / $1,230.22	Professional		$302.08	$598.52	$1,230.22
United Facility/Professional Facility Modifier Low / Median / High Price $2,160.00 / $5,547.00 / $13,746.00	Facility		$2,160.00	$5,547.00	$13,746.00
United Facility/Professional Professional Modifier Low / Median / High Price $351.74 / $511.76 / $1,199.35	Professional		$351.74	$511.76	$1,199.35
Univera Facility/Professional Facility Modifier Low / Median / High Price $365.49 / $365.49 / $975.37	Facility		$365.49	$365.49	$975.37
Univera Facility/Professional Professional Modifier Low / Median / High Price $349.85 / $630.91 / $965.77	Professional		$349.85	$630.91	$965.77