Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $460.97 / $3,020.00 / $9,661.00	Facility		$460.97	$3,020.00	$9,661.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $350.26 / $454.40 / $767.06	Professional		$350.26	$454.40	$767.06
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 $314.56 / $390.64 / $885.53	Professional		$314.56	$390.64	$885.53
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $538.29 / $538.29 / $37,499.62	Facility		$538.29	$538.29	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $538.29 / $538.29 / $538.29	Professional		$538.29	$538.29	$538.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $434.58 / $434.58 / $7,227.90	Facility		$434.58	$434.58	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $327.62 / $625.54 / $1,434.85	Professional		$327.62	$625.54	$1,434.85
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $453.88 / $1,021.23	Facility		$319.00	$453.88	$1,021.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $436.22 / $525.73 / $785.21	Professional		$436.22	$525.73	$785.21
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $349.54 / $349.54 / $349.54	Facility		$349.54	$349.54	$349.54
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $303.87 / $501.19 / $749.98	Professional		$303.87	$501.19	$749.98
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $434.58 / $555.00 / $7,227.90	Facility		$434.58	$555.00	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $392.33 / $576.25 / $1,313.57	Professional		$392.33	$576.25	$1,313.57
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 $323.64 / $468.37 / $1,072.83	Professional		$323.64	$468.37	$1,072.83
Univera Facility/Professional Facility Modifier Low / Median / High Price $446.87 / $446.87 / $1,155.36	Facility		$446.87	$446.87	$1,155.36
Univera Facility/Professional Professional Modifier Low / Median / High Price $349.54 / $552.28 / $950.02	Professional		$349.54	$552.28	$950.02