Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $382.26 / $3,754.00 / $9,038.00	Facility		$382.26	$3,754.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $272.66 / $347.17 / $525.76	Professional		$272.66	$347.17	$525.76
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 $246.87 / $306.57 / $668.88	Professional		$246.87	$306.57	$668.88
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $389.35 / $1,990.00 / $8,917.50	Facility		$389.35	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $389.35 / $389.35 / $389.35	Professional		$389.35	$389.35	$389.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $317.77 / $317.77 / $5,246.94	Facility		$317.77	$317.77	$5,246.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.91 / $480.40 / $965.67	Professional		$243.91	$480.40	$965.67
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $294.00 / $393.00 / $699.98	Facility		$294.00	$393.00	$699.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $279.99 / $374.78 / $560.88	Professional		$279.99	$374.78	$560.88
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $258.47 / $258.47 / $862.75	Facility		$258.47	$258.47	$862.75
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $238.12 / $328.23 / $509.42	Professional		$238.12	$328.23	$509.42
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $317.77 / $597.00 / $8,447.44	Facility		$317.77	$597.00	$8,447.44
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $294.33 / $439.34 / $937.76	Professional		$294.33	$439.34	$937.76
United Facility/Professional Facility Modifier Low / Median / High Price $2,341.00 / $6,118.00 / $13,703.00	Facility		$2,341.00	$6,118.00	$13,703.00
United Facility/Professional Professional Modifier Low / Median / High Price $235.37 / $325.33 / $718.75	Professional		$235.37	$325.33	$718.75
Univera Facility/Professional Facility Modifier Low / Median / High Price $328.23 / $328.23 / $1,385.70	Facility		$328.23	$328.23	$1,385.70
Univera Facility/Professional Professional Modifier Low / Median / High Price $276.63 / $368.13 / $697.80	Professional		$276.63	$368.13	$697.80