Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $503.85 / $2,952.00 / $7,735.00	Facility		$503.85	$2,952.00	$7,735.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $377.29 / $464.24 / $808.38	Professional		$377.29	$464.24	$808.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,651.00 / $3,263.00 / $4,636.00	Facility		$1,651.00	$3,263.00	$4,636.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.73 / $411.95 / $957.34	Professional		$331.73	$411.95	$957.34
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $578.97 / $578.97 / $6,213.00	Facility		$578.97	$578.97	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $578.97 / $578.97 / $578.97	Professional		$578.97	$578.97	$578.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $330.66 / $466.67 / $466.67	Facility		$330.66	$466.67	$466.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $321.43 / $638.35 / $1,443.66	Professional		$321.43	$638.35	$1,443.66
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $332.00 / $1,076.24	Facility		$165.00	$332.00	$1,076.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $430.50 / $560.86 / $839.36	Professional		$430.50	$560.86	$839.36
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $386.80 / $386.80 / $386.80	Facility		$386.80	$386.80	$386.80
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.38 / $481.99 / $759.54	Professional		$338.38	$481.99	$759.54
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $330.66 / $466.67 / $597.00	Facility		$330.66	$466.67	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $352.58 / $609.03 / $1,366.91	Professional		$352.58	$609.03	$1,366.91
United Facility/Professional Facility Modifier Low / Median / High Price $671.00 / $2,597.00 / $4,840.00	Facility		$671.00	$2,597.00	$4,840.00
United Facility/Professional Professional Modifier Low / Median / High Price $332.35 / $465.91 / $1,037.66	Professional		$332.35	$465.91	$1,037.66
Univera Facility/Professional Facility Modifier Low / Median / High Price $497.08 / $497.08 / $1,170.77	Facility		$497.08	$497.08	$1,170.77
Univera Facility/Professional Professional Modifier Low / Median / High Price $361.44 / $543.46 / $1,050.75	Professional		$361.44	$543.46	$1,050.75