Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $324.63 / $2,842.00 / $9,868.00	Facility		$324.63	$2,842.00	$9,868.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $254.94 / $343.98 / $633.04	Professional		$254.94	$343.98	$633.04
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 $232.56 / $291.20 / $725.02	Professional		$232.56	$291.20	$725.02
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $360.94 / $1,716.00 / $6,213.00	Facility		$360.94	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $360.94 / $360.94 / $467.89	Professional		$360.94	$360.94	$467.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $437.72 / $437.72 / $4,612.43	Facility		$437.72	$437.72	$4,612.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $459.35 / $1,006.92	Professional		$250.00	$459.35	$1,006.92
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $235.00 / $319.00 / $673.92	Facility		$235.00	$319.00	$673.92
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $341.53 / $444.85 / $663.46	Professional		$341.53	$444.85	$663.46
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $305.74 / $305.74 / $639.45	Facility		$305.74	$305.74	$639.45
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $266.83 / $396.45 / $615.29	Professional		$266.83	$396.45	$615.29
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $437.72 / $597.00 / $16,269.00	Facility		$437.72	$597.00	$16,269.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $277.00 / $461.07 / $995.22	Professional		$277.00	$461.07	$995.22
United Facility/Professional Facility Modifier Low / Median / High Price $1,693.00 / $3,972.00 / $10,452.00	Facility		$1,693.00	$3,972.00	$10,452.00
United Facility/Professional Professional Modifier Low / Median / High Price $269.74 / $374.86 / $839.73	Professional		$269.74	$374.86	$839.73
Univera Facility/Professional Facility Modifier Low / Median / High Price $311.16 / $311.16 / $1,122.86	Facility		$311.16	$311.16	$1,122.86
Univera Facility/Professional Professional Modifier Low / Median / High Price $266.83 / $412.31 / $699.35	Professional		$266.83	$412.31	$699.35