Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $317.19 / $2,630.00 / $7,185.00	Facility		$317.19	$2,630.00	$7,185.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.47 / $400.01 / $676.74	Professional		$208.47	$400.01	$676.74
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 $292.27 / $371.22 / $903.63	Professional		$292.27	$371.22	$903.63
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $296.45 / $1,254.00 / $4,050.00	Facility		$296.45	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $296.45 / $296.45 / $586.74	Professional		$296.45	$296.45	$586.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.09 / $354.09 / $3,479.91	Facility		$354.09	$354.09	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $222.48 / $466.45 / $1,078.80	Professional		$222.48	$466.45	$1,078.80
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $250.00 / $364.00 / $756.45	Facility		$250.00	$364.00	$756.45
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $225.00 / $429.00 / $774.13	Professional		$225.00	$429.00	$774.13
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $482.13	Facility		$371.54	$371.54	$482.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $350.06 / $482.55 / $748.92	Professional		$350.06	$482.55	$748.92
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $354.09 / $597.00 / $5,855.00	Facility		$354.09	$597.00	$5,855.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $256.27 / $510.87 / $1,043.18	Professional		$256.27	$510.87	$1,043.18
United Facility/Professional Facility Modifier Low / Median / High Price $1,269.00 / $3,612.00 / $8,133.00	Facility		$1,269.00	$3,612.00	$8,133.00
United Facility/Professional Professional Modifier Low / Median / High Price $332.83 / $465.53 / $1,085.84	Professional		$332.83	$465.53	$1,085.84
Univera Facility/Professional Facility Modifier Low / Median / High Price $248.79 / $248.79 / $882.03	Facility		$248.79	$248.79	$882.03
Univera Facility/Professional Professional Modifier Low / Median / High Price $399.19 / $528.90 / $809.85	Professional		$399.19	$528.90	$809.85