Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $328.13 / $2,952.00 / $8,134.00	Facility		$328.13	$2,952.00	$8,134.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.07 / $399.45 / $872.35	Professional		$215.07	$399.45	$872.35
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 $326.12 / $479.59 / $958.36	Professional		$326.12	$479.59	$958.36
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $319.01 / $1,716.00 / $6,213.00	Facility		$319.01	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $319.01 / $319.01 / $681.40	Professional		$319.01	$319.01	$681.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.62 / $375.62 / $375.62	Facility		$375.62	$375.62	$375.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.23 / $532.54 / $1,526.18	Professional		$238.23	$532.54	$1,526.18
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $153.00 / $269.88 / $563.83	Facility		$153.00	$269.88	$563.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $488.08 / $681.09 / $999.80	Professional		$488.08	$681.09	$999.80
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $419.13 / $419.13 / $419.13	Facility		$419.13	$419.13	$419.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $335.52 / $524.36 / $952.42	Professional		$335.52	$524.36	$952.42
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $375.62 / $555.00 / $597.00	Facility		$375.62	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $266.83 / $653.91 / $1,563.10	Professional		$266.83	$653.91	$1,563.10
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 $445.16 / $717.12 / $1,640.55	Professional		$445.16	$717.12	$1,640.55
Univera Facility/Professional Facility Modifier Low / Median / High Price $254.76 / $254.76 / $1,048.92	Facility		$254.76	$254.76	$1,048.92
Univera Facility/Professional Professional Modifier Low / Median / High Price $380.67 / $557.66 / $952.42	Professional		$380.67	$557.66	$952.42