Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $287.39 / $2,660.00 / $7,185.00	Facility		$287.39	$2,660.00	$7,185.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.24 / $429.29 / $934.68	Professional		$189.24	$429.29	$934.68
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 $400.95 / $513.16 / $1,192.49	Professional		$400.95	$513.16	$1,192.49
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $257.82 / $257.82 / $4,050.00	Facility		$257.82	$257.82	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $257.82 / $257.82 / $830.76	Professional		$257.82	$257.82	$830.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $307.91 / $307.91 / $6,511.02	Facility		$307.91	$307.91	$6,511.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.95 / $565.99 / $1,705.25	Professional		$198.95	$565.99	$1,705.25
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $190.05 / $282.00 / $610.00	Facility		$190.05	$282.00	$610.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $559.91 / $731.75 / $1,082.07	Professional		$559.91	$731.75	$1,082.07
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $498.65 / $498.65 / $639.45	Facility		$498.65	$498.65	$639.45
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $364.54 / $658.43 / $1,021.88	Professional		$364.54	$658.43	$1,021.88
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $307.91 / $555.00 / $6,511.02	Facility		$307.91	$555.00	$6,511.02
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $236.43 / $657.40 / $1,439.20	Professional		$236.43	$657.40	$1,439.20
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 $467.62 / $654.92 / $1,546.93	Professional		$467.62	$654.92	$1,546.93
Univera Facility/Professional Facility Modifier Low / Median / High Price $216.96 / $216.96 / $498.65	Facility		$216.96	$216.96	$498.65
Univera Facility/Professional Professional Modifier Low / Median / High Price $364.54 / $658.43 / $1,045.52	Professional		$364.54	$658.43	$1,045.52