Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.14 / $3,060.00 / $10,170.00	Facility		$416.14	$3,060.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.08 / $356.40 / $679.72	Professional		$295.08	$356.40	$679.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,373.00 / $4,463.00 / $48,679.00	Facility		$2,373.00	$4,463.00	$48,679.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $266.17 / $330.54 / $761.41	Professional		$266.17	$330.54	$761.41
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $466.59 / $466.59 / $10,957.50	Facility		$466.59	$466.59	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $466.59 / $466.59 / $466.59	Professional		$466.59	$466.59	$466.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $379.05 / $3,479.91 / $27,393.00	Facility		$379.05	$3,479.91	$27,393.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $278.75 / $495.00 / $1,223.81	Professional		$278.75	$495.00	$1,223.81
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $316.00 / $362.02 / $8,364.00	Facility		$316.00	$362.02	$8,364.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $361.98 / $465.37 / $695.81	Professional		$361.98	$465.37	$695.81
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $312.14 / $312.14 / $312.14	Facility		$312.14	$312.14	$312.14
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.79 / $383.22 / $618.59	Professional		$245.79	$383.22	$618.59
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $379.05 / $3,479.91 / $36,010.00	Facility		$379.05	$3,479.91	$36,010.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $278.75 / $483.19 / $1,132.22	Professional		$278.75	$483.19	$1,132.22
United Facility/Professional Facility Modifier Low / Median / High Price $1,269.00 / $4,445.00 / $12,106.00	Facility		$1,269.00	$4,445.00	$12,106.00
United Facility/Professional Professional Modifier Low / Median / High Price $274.86 / $391.12 / $853.04	Professional		$274.86	$391.12	$853.04
Univera Facility/Professional Facility Modifier Low / Median / High Price $398.58 / $398.58 / $887.21	Facility		$398.58	$398.58	$887.21
Univera Facility/Professional Professional Modifier Low / Median / High Price $245.79 / $419.20 / $847.34	Professional		$245.79	$419.20	$847.34