Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $531.91 / $3,100.00 / $10,170.00	Facility		$531.91	$3,100.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $421.82 / $531.91 / $889.55	Professional		$421.82	$531.91	$889.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $4,960.00 / $11,448.00	Facility		$3,283.00	$4,960.00	$11,448.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $366.06 / $454.58 / $1,058.34	Professional		$366.06	$454.58	$1,058.34
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $639.09 / $639.09 / $37,499.62	Facility		$639.09	$639.09	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $639.09 / $639.09 / $639.09	Professional		$639.09	$639.09	$639.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $514.80 / $514.80 / $7,227.90	Facility		$514.80	$514.80	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.42 / $709.56 / $1,614.63	Professional		$354.42	$709.56	$1,614.63
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $332.00 / $1,184.31	Facility		$200.00	$332.00	$1,184.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $473.72 / $617.69 / $924.40	Professional		$473.72	$617.69	$924.40
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $425.99 / $425.99 / $425.99	Facility		$425.99	$425.99	$425.99
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $378.86 / $489.89 / $836.44	Professional		$378.86	$489.89	$836.44
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $514.80 / $555.00 / $7,227.90	Facility		$514.80	$555.00	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $420.00 / $674.54 / $1,512.73	Professional		$420.00	$674.54	$1,512.73
United Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $4,194.00 / $9,020.04	Facility		$996.00	$4,194.00	$9,020.04
United Facility/Professional Professional Modifier Low / Median / High Price $374.15 / $541.09 / $1,187.78	Professional		$374.15	$541.09	$1,187.78
Univera Facility/Professional Facility Modifier Low / Median / High Price $547.41 / $547.41 / $1,836.42	Facility		$547.41	$547.41	$1,836.42
Univera Facility/Professional Professional Modifier Low / Median / High Price $429.20 / $598.52 / $1,157.13	Professional		$429.20	$598.52	$1,157.13