Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $561.94 / $3,978.00 / $10,170.00	Facility		$561.94	$3,978.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $385.96 / $459.41 / $974.53	Professional		$385.96	$459.41	$974.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,977.00 / $10,673.00 / $26,158.00	Facility		$4,977.00	$10,673.00	$26,158.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $350.58 / $458.28 / $938.30	Professional		$350.58	$458.28	$938.30
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $601.22 / $1,716.00 / $6,213.00	Facility		$601.22	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $601.22 / $601.22 / $601.22	Professional		$601.22	$601.22	$601.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.69 / $500.69 / $500.69	Facility		$500.69	$500.69	$500.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $418.47 / $667.36 / $1,856.26	Professional		$418.47	$667.36	$1,856.26
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $680.00 / $1,233.00	Facility		$332.00	$680.00	$1,233.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $482.69 / $688.86 / $1,057.64	Professional		$482.69	$688.86	$1,057.64
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $406.97 / $406.97 / $406.97	Facility		$406.97	$406.97	$406.97
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $310.48 / $428.76 / $916.20	Professional		$310.48	$428.76	$916.20
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $500.69 / $555.00 / $37,776.00	Facility		$500.69	$555.00	$37,776.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $430.56 / $669.72 / $1,827.23	Professional		$430.56	$669.72	$1,827.23
United Facility/Professional Facility Modifier Low / Median / High Price $2,705.00 / $12,547.00 / $46,444.00	Facility		$2,705.00	$12,547.00	$46,444.00
United Facility/Professional Professional Modifier Low / Median / High Price $371.99 / $616.46 / $1,342.20	Professional		$371.99	$616.46	$1,342.20
Univera Facility/Professional Facility Modifier Low / Median / High Price $504.42 / $504.42 / $1,780.93	Facility		$504.42	$504.42	$1,780.93
Univera Facility/Professional Professional Modifier Low / Median / High Price $370.84 / $558.03 / $1,097.89	Professional		$370.84	$558.03	$1,097.89