Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $429.22 / $3,659.00 / $10,170.00	Facility		$429.22	$3,659.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $278.32 / $359.38 / $694.37	Professional		$278.32	$359.38	$694.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,977.00 / $10,576.00 / $24,288.00	Facility		$4,977.00	$10,576.00	$24,288.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $242.82 / $317.42 / $741.81	Professional		$242.82	$317.42	$741.81
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $441.57 / $1,254.00 / $4,050.00	Facility		$441.57	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $441.57 / $441.57 / $441.57	Professional		$441.57	$441.57	$441.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $357.11 / $357.11 / $357.11	Facility		$357.11	$357.11	$357.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $296.12 / $489.26 / $1,363.78	Professional		$296.12	$489.26	$1,363.78
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $543.00 / $961.60	Facility		$319.00	$543.00	$961.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $342.47 / $493.21 / $731.35	Professional		$342.47	$493.21	$731.35
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $294.08 / $294.08 / $294.08	Facility		$294.08	$294.08	$294.08
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.16 / $364.94 / $662.85	Professional		$251.16	$364.94	$662.85
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $357.11 / $555.00 / $49,110.00	Facility		$357.11	$555.00	$49,110.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $313.83 / $489.26 / $1,257.73	Professional		$313.83	$489.26	$1,257.73
United Facility/Professional Facility Modifier Low / Median / High Price $2,673.00 / $7,719.00 / $52,889.00	Facility		$2,673.00	$7,719.00	$52,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $275.16 / $427.24 / $1,018.24	Professional		$275.16	$427.24	$1,018.24
Univera Facility/Professional Facility Modifier Low / Median / High Price $364.94 / $364.94 / $1,419.90	Facility		$364.94	$364.94	$1,419.90
Univera Facility/Professional Professional Modifier Low / Median / High Price $251.16 / $403.26 / $794.29	Professional		$251.16	$403.26	$794.29