Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $548.88 / $3,205.00 / $7,839.00	Facility		$548.88	$3,205.00	$7,839.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $351.59 / $452.86 / $762.56	Professional		$351.59	$452.86	$762.56
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 $337.64 / $419.29 / $928.60	Professional		$337.64	$419.29	$928.60
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $595.84 / $1,716.00 / $6,213.00	Facility		$595.84	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $595.84 / $595.84 / $595.84	Professional		$595.84	$595.84	$595.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $481.34 / $481.34 / $4,612.43	Facility		$481.34	$481.34	$4,612.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $357.16 / $624.65 / $1,568.81	Professional		$357.16	$624.65	$1,568.81
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $453.10 / $1,150.27	Facility		$332.00	$453.10	$1,150.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $460.11 / $591.25 / $884.43	Professional		$460.11	$591.25	$884.43
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $396.34 / $396.34 / $639.45	Facility		$396.34	$396.34	$639.45
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.95 / $486.60 / $785.61	Professional		$302.95	$486.60	$785.61
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $481.34 / $555.00 / $4,612.43	Facility		$481.34	$555.00	$4,612.43
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $423.13 / $614.41 / $1,414.10	Professional		$423.13	$614.41	$1,414.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,764.00 / $3,439.00 / $7,203.00	Facility		$1,764.00	$3,439.00	$7,203.00
United Facility/Professional Professional Modifier Low / Median / High Price $350.74 / $490.28 / $1,147.70	Professional		$350.74	$490.28	$1,147.70
Univera Facility/Professional Facility Modifier Low / Median / High Price $506.19 / $506.19 / $1,435.96	Facility		$506.19	$506.19	$1,435.96
Univera Facility/Professional Professional Modifier Low / Median / High Price $302.95 / $532.29 / $1,076.11	Professional		$302.95	$532.29	$1,076.11