Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $542.10 / $3,103.00 / $8,442.00	Facility		$542.10	$3,103.00	$8,442.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $404.06 / $499.45 / $842.28	Professional		$404.06	$499.45	$842.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,070.00 / $6,992.00 / $12,173.00	Facility		$4,070.00	$6,992.00	$12,173.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $329.11 / $408.70 / $995.00	Professional		$329.11	$408.70	$995.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $605.38 / $1,254.00 / $4,050.00	Facility		$605.38	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $605.38 / $605.38 / $605.38	Professional		$605.38	$605.38	$605.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $474.19 / $474.19 / $3,479.91	Facility		$474.19	$474.19	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $361.10 / $695.64 / $1,557.65	Professional		$361.10	$695.64	$1,557.65
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $452.00 / $1,098.33	Facility		$332.00	$452.00	$1,098.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $439.34 / $572.17 / $844.50	Professional		$439.34	$572.17	$844.50
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $383.35 / $383.35 / $482.13	Facility		$383.35	$383.35	$482.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $350.86 / $470.65 / $766.57	Professional		$350.86	$470.65	$766.57
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $474.19 / $555.00 / $8,016.97	Facility		$474.19	$555.00	$8,016.97
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $441.17 / $655.79 / $1,448.99	Professional		$441.17	$655.79	$1,448.99
United Facility/Professional Facility Modifier Low / Median / High Price $2,341.00 / $6,331.00 / $13,172.00	Facility		$2,341.00	$6,331.00	$13,172.00
United Facility/Professional Professional Modifier Low / Median / High Price $351.52 / $505.21 / $1,225.98	Professional		$351.52	$505.21	$1,225.98
Univera Facility/Professional Facility Modifier Low / Median / High Price $482.13 / $493.92 / $1,707.83	Facility		$482.13	$493.92	$1,707.83
Univera Facility/Professional Professional Modifier Low / Median / High Price $359.27 / $553.95 / $1,050.04	Professional		$359.27	$553.95	$1,050.04