Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $513.25 / $3,754.00 / $9,038.00	Facility		$513.25	$3,754.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $367.66 / $459.88 / $708.42	Professional		$367.66	$459.88	$708.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,499.00 / $7,264.00 / $13,780.00	Facility		$4,499.00	$7,264.00	$13,780.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $299.27 / $371.64 / $902.97	Professional		$299.27	$371.64	$902.97
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $524.91 / $4,275.50 / $16,534.50	Facility		$524.91	$4,275.50	$16,534.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $524.91 / $524.91 / $524.91	Professional		$524.91	$524.91	$524.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $428.89 / $428.89 / $13,296.25	Facility		$428.89	$428.89	$13,296.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $308.00 / $640.70 / $1,288.61	Professional		$308.00	$640.70	$1,288.61
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $520.00 / $939.24	Facility		$332.00	$520.00	$939.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $375.70 / $503.93 / $754.16	Professional		$375.70	$503.93	$754.16
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $347.54 / $347.54 / $1,522.50	Facility		$347.54	$347.54	$1,522.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $321.26 / $442.84 / $687.29	Professional		$321.26	$442.84	$687.29
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $428.89 / $597.00 / $13,296.25	Facility		$428.89	$597.00	$13,296.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $387.47 / $570.73 / $1,221.59	Professional		$387.47	$570.73	$1,221.59
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $6,344.00 / $16,403.00	Facility		$2,264.00	$6,344.00	$16,403.00
United Facility/Professional Professional Modifier Low / Median / High Price $318.56 / $449.87 / $1,024.71	Professional		$318.56	$449.87	$1,024.71
Univera Facility/Professional Facility Modifier Low / Median / High Price $442.84 / $442.84 / $1,868.61	Facility		$442.84	$442.84	$1,868.61
Univera Facility/Professional Professional Modifier Low / Median / High Price $374.22 / $496.67 / $941.45	Professional		$374.22	$496.67	$941.45