Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,508.00 / $4,441.00 / $12,051.00	Facility		$1,508.00	$4,441.00	$12,051.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $532.82 / $623.69 / $849.69	Professional		$532.82	$623.69	$849.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,464.00 / $7,631.00 / $14,193.00	Facility		$4,464.00	$7,631.00	$14,193.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $625.79 / $909.61 / $1,470.16	Professional		$625.79	$909.61	$1,470.16
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $863.52 / $5,511.50 / $16,534.50	Facility		$863.52	$5,511.50	$16,534.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $863.52 / $863.52 / $863.52	Professional		$863.52	$863.52	$863.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $683.24 / $683.24 / $683.24	Facility		$683.24	$683.24	$683.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $581.86 / $929.72 / $2,792.77	Professional		$581.86	$929.72	$2,792.77
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $282.00 / $610.00 / $15,064.00	Facility		$282.00	$610.00	$15,064.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $305.27 / $436.42 / $681.05	Professional		$305.27	$436.42	$681.05
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $267.16 / $267.16 / $267.16	Facility		$267.16	$267.16	$267.16
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.17 / $366.33 / $589.10	Professional		$213.17	$366.33	$589.10
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $37,776.00	Facility		$555.00	$597.00	$37,776.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $589.90 / $865.00 / $2,524.15	Professional		$589.90	$865.00	$2,524.15
United Facility/Professional Facility Modifier Low / Median / High Price $2,160.00 / $5,248.00 / $12,572.00	Facility		$2,160.00	$5,248.00	$12,572.00
United Facility/Professional Professional Modifier Low / Median / High Price $230.06 / $349.07 / $803.55	Professional		$230.06	$349.07	$803.55
Univera Facility/Professional Facility Modifier Low / Median / High Price $470.20 / $470.20 / $2,245.19	Facility		$470.20	$470.20	$2,245.19
Univera Facility/Professional Professional Modifier Low / Median / High Price $223.89 / $392.06 / $705.92	Professional		$223.89	$392.06	$705.92