Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $453.07 / $3,754.00 / $9,038.00	Facility		$453.07	$3,754.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $324.54 / $405.68 / $625.36	Professional		$324.54	$405.68	$625.36
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 $264.24 / $328.14 / $797.02	Professional		$264.24	$328.14	$797.02
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $463.53 / $1,990.00 / $8,917.50	Facility		$463.53	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $463.53 / $463.53 / $463.53	Professional		$463.53	$463.53	$463.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $378.60 / $378.60 / $5,246.94	Facility		$378.60	$378.60	$5,246.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $273.56 / $568.00 / $1,137.28	Professional		$273.56	$568.00	$1,137.28
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $463.00 / $828.79	Facility		$332.00	$463.00	$828.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $331.52 / $445.01 / $665.97	Professional		$331.52	$445.01	$665.97
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $306.89 / $306.89 / $862.75	Facility		$306.89	$306.89	$862.75
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $283.62 / $390.96 / $606.76	Professional		$283.62	$390.96	$606.76
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $378.60 / $597.00 / $5,855.00	Facility		$378.60	$597.00	$5,855.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $342.05 / $511.74 / $1,078.10	Professional		$342.05	$511.74	$1,078.10
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 $277.95 / $390.51 / $904.36	Professional		$277.95	$390.51	$904.36
Univera Facility/Professional Facility Modifier Low / Median / High Price $390.96 / $390.96 / $1,651.95	Facility		$390.96	$390.96	$1,651.95
Univera Facility/Professional Professional Modifier Low / Median / High Price $331.24 / $438.47 / $831.14	Professional		$331.24	$438.47	$831.14