Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $492.81 / $3,205.00 / $7,839.00	Facility		$492.81	$3,205.00	$7,839.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.94 / $431.08 / $763.18	Professional		$331.94	$431.08	$763.18
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 $300.77 / $373.52 / $855.49	Professional		$300.77	$373.52	$855.49
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $526.41 / $1,716.00 / $6,213.00	Facility		$526.41	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $526.41 / $526.41 / $526.41	Professional		$526.41	$526.41	$526.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $425.93 / $425.93 / $4,612.43	Facility		$425.93	$425.93	$4,612.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $315.12 / $586.94 / $1,389.81	Professional		$315.12	$586.94	$1,389.81
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $394.90 / $1,016.96	Facility		$319.00	$394.90	$1,016.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $406.78 / $522.88 / $781.93	Professional		$406.78	$522.88	$781.93
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $350.80 / $350.80 / $639.45	Facility		$350.80	$350.80	$639.45
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $273.33 / $447.61 / $694.70	Professional		$273.33	$447.61	$694.70
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $425.93 / $555.00 / $4,612.43	Facility		$425.93	$555.00	$4,612.43
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $375.04 / $550.69 / $1,259.81	Professional		$375.04	$550.69	$1,259.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,815.00 / $3,963.00 / $7,939.00	Facility		$1,815.00	$3,963.00	$7,939.00
United Facility/Professional Professional Modifier Low / Median / High Price $311.05 / $439.57 / $1,023.51	Professional		$311.05	$439.57	$1,023.51
Univera Facility/Professional Facility Modifier Low / Median / High Price $447.61 / $447.61 / $1,256.74	Facility		$447.61	$447.61	$1,256.74
Univera Facility/Professional Professional Modifier Low / Median / High Price $273.33 / $502.02 / $951.59	Professional		$273.33	$502.02	$951.59