Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $414.40 / $3,205.00 / $7,839.00	Facility		$414.40	$3,205.00	$7,839.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $271.30 / $353.27 / $524.41	Professional		$271.30	$353.27	$524.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,248.00 / $4,838.00 / $11,446.00	Facility		$3,248.00	$4,838.00	$11,446.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $250.51 / $311.08 / $669.33	Professional		$250.51	$311.08	$669.33
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $386.67 / $1,716.00 / $6,213.00	Facility		$386.67	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $386.67 / $386.67 / $386.67	Professional		$386.67	$386.67	$386.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $315.85 / $315.85 / $4,612.43	Facility		$315.85	$315.85	$4,612.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.49 / $481.64 / $965.68	Professional		$248.49	$481.64	$965.68
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $294.00 / $380.00 / $698.18	Facility		$294.00	$380.00	$698.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $279.27 / $373.77 / $559.36	Professional		$279.27	$373.77	$559.36
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.77 / $257.77 / $639.45	Facility		$257.77	$257.77	$639.45
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $237.62 / $316.47 / $508.34	Professional		$237.62	$316.47	$508.34
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $315.85 / $597.00 / $8,447.44	Facility		$315.85	$597.00	$8,447.44
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $291.99 / $441.02 / $938.10	Professional		$291.99	$441.02	$938.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,694.00 / $4,893.00 / $11,176.00	Facility		$1,694.00	$4,893.00	$11,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $231.99 / $331.42 / $756.11	Professional		$231.99	$331.42	$756.11
Univera Facility/Professional Facility Modifier Low / Median / High Price $327.54 / $327.54 / $1,387.01	Facility		$327.54	$327.54	$1,387.01
Univera Facility/Professional Professional Modifier Low / Median / High Price $278.41 / $367.35 / $696.33	Professional		$278.41	$367.35	$696.33