Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,508.00 / $4,392.00 / $12,051.00	Facility		$1,508.00	$4,392.00	$12,051.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $506.47 / $578.22 / $935.86	Professional		$506.47	$578.22	$935.86
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 $624.79 / $864.70 / $1,441.17	Professional		$624.79	$864.70	$1,441.17
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $820.04 / $5,511.50 / $16,534.50	Facility		$820.04	$5,511.50	$16,534.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $820.04 / $820.04 / $820.04	Professional		$820.04	$820.04	$820.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $648.78 / $648.78 / $648.78	Facility		$648.78	$648.78	$648.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $553.19 / $882.88 / $2,655.54	Professional		$553.19	$882.88	$2,655.54
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $295.56 / $610.00 / $15,064.00	Facility		$295.56	$610.00	$15,064.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $295.56 / $431.08 / $725.32	Professional		$295.56	$431.08	$725.32
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $252.45 / $252.45 / $252.45	Facility		$252.45	$252.45	$252.45
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $182.39 / $346.16 / $556.66	Professional		$182.39	$346.16	$556.66
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 $560.76 / $910.00 / $2,233.73	Professional		$560.76	$910.00	$2,233.73
United Facility/Professional Facility Modifier Low / Median / High Price $2,380.00 / $4,893.00 / $10,944.00	Facility		$2,380.00	$4,893.00	$10,944.00
United Facility/Professional Professional Modifier Low / Median / High Price $241.49 / $372.26 / $877.09	Professional		$241.49	$372.26	$877.09
Univera Facility/Professional Facility Modifier Low / Median / High Price $444.31 / $444.31 / $1,871.03	Facility		$444.31	$444.31	$1,871.03
Univera Facility/Professional Professional Modifier Low / Median / High Price $238.46 / $370.47 / $667.05	Professional		$238.46	$370.47	$667.05