Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $368.71 / $3,020.00 / $7,839.00	Facility		$368.71	$3,020.00	$7,839.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $241.64 / $312.22 / $715.62	Professional		$241.64	$312.22	$715.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,385.00 / $4,133.00 / $9,074.00	Facility		$2,385.00	$4,133.00	$9,074.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $212.14 / $269.00 / $682.36	Professional		$212.14	$269.00	$682.36
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $370.83 / $1,254.00 / $4,050.00	Facility		$370.83	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $370.83 / $370.83 / $370.83	Professional		$370.83	$370.83	$370.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $293.24 / $293.24 / $293.24	Facility		$293.24	$293.24	$293.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.20 / $438.54 / $1,164.01	Professional		$248.20	$438.54	$1,164.01
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $221.00 / $315.73 / $651.94	Facility		$221.00	$315.73	$651.94
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $297.01 / $382.56 / $614.27	Professional		$297.01	$382.56	$614.27
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $242.87 / $242.87 / $242.87	Facility		$242.87	$242.87	$242.87
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $214.82 / $355.33 / $544.91	Professional		$214.82	$355.33	$544.91
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $293.24 / $555.00 / $37,776.00	Facility		$293.24	$555.00	$37,776.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $269.67 / $431.37 / $1,108.84	Professional		$269.67	$431.37	$1,108.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,768.00 / $3,961.00 / $8,312.00	Facility		$1,768.00	$3,961.00	$8,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $240.64 / $360.96 / $895.79	Professional		$240.64	$360.96	$895.79
Univera Facility/Professional Facility Modifier Low / Median / High Price $299.83 / $299.83 / $1,318.87	Facility		$299.83	$299.83	$1,318.87
Univera Facility/Professional Professional Modifier Low / Median / High Price $254.81 / $355.33 / $652.62	Professional		$254.81	$355.33	$652.62