Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.73 / $2,626.00 / $7,235.00	Facility		$173.73	$2,626.00	$7,235.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.80 / $407.12 / $683.03	Professional		$126.80	$407.12	$683.03
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 $276.64 / $419.60 / $987.67	Professional		$276.64	$419.60	$987.67
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $179.82 / $1,254.00 / $4,050.00	Facility		$179.82	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $179.82 / $179.82 / $625.76	Professional		$179.82	$179.82	$625.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $219.22 / $219.22 / $3,479.91	Facility		$219.22	$219.22	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.34 / $450.07 / $1,216.31	Professional		$140.34	$450.07	$1,216.31
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $200.39 / $346.00	Facility		$100.00	$200.39	$346.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $455.09 / $593.39 / $874.77	Professional		$455.09	$593.39	$874.77
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $402.32 / $402.32 / $482.13	Facility		$402.32	$402.32	$482.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $382.38 / $527.32 / $818.39	Professional		$382.38	$527.32	$818.39
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $219.22 / $555.00 / $3,723.97	Facility		$219.22	$555.00	$3,723.97
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $163.29 / $539.65 / $1,212.99	Professional		$163.29	$539.65	$1,212.99
United Facility/Professional Facility Modifier Low / Median / High Price $1,693.00 / $3,972.00 / $9,202.00	Facility		$1,693.00	$3,972.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $352.94 / $497.06 / $1,173.94	Professional		$352.94	$497.06	$1,173.94
Univera Facility/Professional Facility Modifier Low / Median / High Price $155.34 / $155.34 / $494.49	Facility		$155.34	$155.34	$494.49
Univera Facility/Professional Professional Modifier Low / Median / High Price $330.25 / $527.32 / $837.33	Professional		$330.25	$527.32	$837.33