Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,031.00 / $4,043.00 / $10,170.00	Facility		$1,031.00	$4,043.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $334.68 / $390.00 / $747.31	Professional		$334.68	$390.00	$747.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $4,975.00 / $11,448.00	Facility		$3,283.00	$4,975.00	$11,448.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.82 / $107.82 / $274.43	Professional		$86.82	$107.82	$274.43
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $490.93 / $490.93 / $37,499.62	Facility		$490.93	$490.93	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $490.93 / $490.93 / $490.93	Professional		$490.93	$490.93	$490.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $408.44 / $408.44 / $7,227.90	Facility		$408.44	$408.44	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $284.64 / $622.23 / $1,305.83	Professional		$284.64	$622.23	$1,305.83
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $313.60 / $372.84 / $790.92	Facility		$313.60	$372.84	$790.92
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $344.96 / $424.68 / $700.22	Professional		$344.96	$424.68	$700.22
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $286.80 / $286.80 / $286.80	Facility		$286.80	$286.80	$286.80
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $243.78 / $407.26 / $601.66	Professional		$243.78	$407.26	$601.66
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $408.44 / $555.00 / $7,227.90	Facility		$408.44	$555.00	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $290.48 / $628.65 / $1,332.13	Professional		$290.48	$628.65	$1,332.13
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 $245.58 / $345.89 / $760.71	Professional		$245.58	$345.89	$760.71
Univera Facility/Professional Facility Modifier Low / Median / High Price $358.50 / $358.50 / $1,156.38	Facility		$358.50	$358.50	$1,156.38
Univera Facility/Professional Professional Modifier Low / Median / High Price $286.80 / $402.07 / $762.14	Professional		$286.80	$402.07	$762.14