Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $539.98 / $3,703.00 / $10,686.00	Facility		$539.98	$3,703.00	$10,686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $348.23 / $422.96 / $682.91	Professional		$348.23	$422.96	$682.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,248.00 / $4,838.00 / $11,446.00	Facility		$3,248.00	$4,838.00	$11,446.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $292.26 / $362.93 / $852.70	Professional		$292.26	$362.93	$852.70
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $503.18 / $1,716.00 / $6,213.00	Facility		$503.18	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $503.18 / $503.18 / $503.18	Professional		$503.18	$503.18	$503.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $401.58 / $401.58 / $4,612.43	Facility		$401.58	$401.58	$4,612.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $308.74 / $617.85 / $1,248.00	Professional		$308.74	$617.85	$1,248.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $466.00 / $896.49	Facility		$332.00	$466.00	$896.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $358.60 / $478.13 / $713.63	Professional		$358.60	$478.13	$713.63
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $328.86 / $328.86 / $639.45	Facility		$328.86	$328.86	$639.45
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $306.32 / $422.25 / $655.33	Professional		$306.32	$422.25	$655.33
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $401.58 / $597.00 / $5,855.00	Facility		$401.58	$597.00	$5,855.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $374.21 / $567.70 / $1,200.69	Professional		$374.21	$567.70	$1,200.69
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 $297.75 / $411.08 / $952.93	Professional		$297.75	$411.08	$952.93
Univera Facility/Professional Facility Modifier Low / Median / High Price $422.25 / $422.25 / $1,662.74	Facility		$422.25	$422.25	$1,662.74
Univera Facility/Professional Professional Modifier Low / Median / High Price $347.16 / $473.57 / $897.66	Professional		$347.16	$473.57	$897.66