Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $317.33 / $2,900.00 / $10,551.24	Facility		$317.33	$2,900.00	$10,551.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.34 / $404.48 / $816.73	Professional		$217.34	$404.48	$816.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $3,373.00 / $4,707.00	Facility		$1,689.00	$3,373.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $315.52 / $410.41 / $948.48	Professional		$315.52	$410.41	$948.48
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $320.29 / $1,254.00 / $4,050.00	Facility		$320.29	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $320.29 / $320.29 / $661.19	Professional		$320.29	$320.29	$661.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.87 / $407.87 / $407.87	Facility		$407.87	$407.87	$407.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.08 / $562.21 / $1,452.64	Professional		$248.08	$562.21	$1,452.64
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $105.00 / $287.05 / $645.86	Facility		$105.00	$287.05	$645.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $513.51 / $734.25 / $1,084.39	Professional		$513.51	$734.25	$1,084.39
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $440.97 / $440.97 / $440.97	Facility		$440.97	$440.97	$440.97
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $360.68 / $551.55 / $1,001.82	Professional		$360.68	$551.55	$1,001.82
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $407.87 / $555.00 / $36,596.00	Facility		$407.87	$555.00	$36,596.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $252.48 / $597.85 / $1,473.58	Professional		$252.48	$597.85	$1,473.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.00 / $3,496.00 / $6,201.00	Facility		$1,348.00	$3,496.00	$6,201.00
United Facility/Professional Professional Modifier Low / Median / High Price $393.22 / $608.58 / $1,420.99	Professional		$393.22	$608.58	$1,420.99
Univera Facility/Professional Facility Modifier Low / Median / High Price $274.29 / $274.29 / $966.04	Facility		$274.29	$274.29	$966.04
Univera Facility/Professional Professional Modifier Low / Median / High Price $385.10 / $597.00 / $1,001.82	Professional		$385.10	$597.00	$1,001.82