Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $283.39 / $4,940.00 / $11,673.00	Facility		$283.39	$4,940.00	$11,673.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $210.62 / $335.78 / $618.34	Professional		$210.62	$335.78	$618.34
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 $228.20 / $283.39 / $767.12	Professional		$228.20	$283.39	$767.12
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $296.85 / $3,478.50 / $13,477.50	Facility		$296.85	$3,478.50	$13,477.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $296.85 / $296.85 / $522.21	Professional		$296.85	$296.85	$522.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $367.72 / $367.72 / $10,297.11	Facility		$367.72	$367.72	$10,297.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $221.61 / $431.94 / $967.29	Professional		$221.61	$431.94	$967.29
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $110.00 / $267.85 / $576.00	Facility		$110.00	$267.85	$576.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $389.00 / $504.01 / $749.54	Professional		$389.00	$504.01	$749.54
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $345.41 / $345.41 / $1,395.63	Facility		$345.41	$345.41	$1,395.63
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $247.23 / $451.43 / $700.61	Professional		$247.23	$451.43	$700.61
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $367.72 / $555.00 / $10,297.11	Facility		$367.72	$555.00	$10,297.11
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $231.23 / $461.61 / $967.29	Professional		$231.23	$461.61	$967.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,693.00 / $3,972.00 / $9,202.00	Facility		$1,693.00	$3,972.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $275.85 / $392.80 / $882.42	Professional		$275.85	$392.80	$882.42
Univera Facility/Professional Facility Modifier Low / Median / High Price $263.47 / $263.47 / $830.67	Facility		$263.47	$263.47	$830.67
Univera Facility/Professional Professional Modifier Low / Median / High Price $247.23 / $506.29 / $757.62	Professional		$247.23	$506.29	$757.62