Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $438.55 / $2,842.00 / $7,773.00	Facility		$438.55	$2,842.00	$7,773.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $335.32 / $494.67 / $829.14	Professional		$335.32	$494.67	$829.14
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 $372.72 / $464.29 / $1,107.02	Professional		$372.72	$464.29	$1,107.02
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $477.75 / $1,716.00 / $6,213.00	Facility		$477.75	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $477.75 / $477.75 / $740.83	Professional		$477.75	$477.75	$740.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $583.54 / $583.54 / $4,612.43	Facility		$583.54	$583.54	$4,612.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $358.21 / $654.58 / $1,517.28	Professional		$358.21	$654.58	$1,517.28
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $426.00 / $904.46	Facility		$332.00	$426.00	$904.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $551.12 / $714.31 / $1,066.49	Professional		$551.12	$714.31	$1,066.49
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $491.47 / $491.47 / $639.45	Facility		$491.47	$491.47	$639.45
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $378.78 / $640.32 / $993.78	Professional		$378.78	$640.32	$993.78
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $583.54 / $583.54 / $4,612.43	Facility		$583.54	$583.54	$4,612.43
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $393.43 / $682.04 / $1,513.18	Professional		$393.43	$682.04	$1,513.18
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 $409.24 / $579.23 / $1,252.15	Professional		$409.24	$579.23	$1,252.15
Univera Facility/Professional Facility Modifier Low / Median / High Price $417.22 / $417.22 / $1,385.48	Facility		$417.22	$417.22	$1,385.48
Univera Facility/Professional Professional Modifier Low / Median / High Price $378.78 / $665.93 / $1,102.45	Professional		$378.78	$665.93	$1,102.45