Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $569.48 / $3,599.00 / $9,038.00	Facility		$569.48	$3,599.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $413.06 / $545.47 / $940.98	Professional		$413.06	$545.47	$940.98
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 $340.63 / $423.01 / $1,023.95	Professional		$340.63	$423.01	$1,023.95
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $646.65 / $646.65 / $8,917.50	Facility		$646.65	$646.65	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $646.65 / $646.65 / $646.65	Professional		$646.65	$646.65	$646.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $520.97 / $520.97 / $7,227.90	Facility		$520.97	$520.97	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.48 / $745.25 / $1,693.45	Professional		$389.48	$745.25	$1,693.45
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $507.00 / $1,234.82	Facility		$332.00	$507.00	$1,234.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $493.93 / $633.82 / $949.44	Professional		$493.93	$633.82	$949.44
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $424.09 / $424.09 / $1,395.63	Facility		$424.09	$424.09	$1,395.63
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $367.18 / $520.66 / $840.54	Professional		$367.18	$520.66	$840.54
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $520.97 / $555.00 / $7,227.90	Facility		$520.97	$555.00	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $467.04 / $703.30 / $1,564.43	Professional		$467.04	$703.30	$1,564.43
United Facility/Professional Facility Modifier Low / Median / High Price $1,693.00 / $4,893.00 / $11,176.00	Facility		$1,693.00	$4,893.00	$11,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $390.11 / $538.16 / $1,381.24	Professional		$390.11	$538.16	$1,381.24
Univera Facility/Professional Facility Modifier Low / Median / High Price $541.58 / $541.58 / $1,832.52	Facility		$541.58	$541.58	$1,832.52
Univera Facility/Professional Professional Modifier Low / Median / High Price $367.18 / $607.41 / $1,151.35	Professional		$367.18	$607.41	$1,151.35