Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $493.08 / $3,951.00 / $10,170.00	Facility		$493.08	$3,951.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $321.66 / $413.18 / $744.39	Professional		$321.66	$413.18	$744.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,385.00 / $4,133.00 / $9,074.00	Facility		$2,385.00	$4,133.00	$9,074.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $285.32 / $372.97 / $975.61	Professional		$285.32	$372.97	$975.61
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $473.19 / $1,716.00 / $6,213.00	Facility		$473.19	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $473.19 / $473.19 / $473.19	Professional		$473.19	$473.19	$473.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $379.42 / $379.42 / $379.42	Facility		$379.42	$379.42	$379.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $328.60 / $569.95 / $1,483.59	Professional		$328.60	$569.95	$1,483.59
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $582.36 / $1,084.80	Facility		$332.00	$582.36	$1,084.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $370.58 / $506.98 / $742.24	Professional		$370.58	$506.98	$742.24
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $318.23 / $318.23 / $318.23	Facility		$318.23	$318.23	$318.23
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $280.81 / $408.54 / $706.09	Professional		$280.81	$408.54	$706.09
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $379.42 / $555.00 / $36,596.00	Facility		$379.42	$555.00	$36,596.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $356.86 / $560.29 / $1,447.96	Professional		$356.86	$560.29	$1,447.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,768.00 / $3,961.00 / $8,312.00	Facility		$1,768.00	$3,961.00	$8,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $307.07 / $457.21 / $1,067.86	Professional		$307.07	$457.21	$1,067.86
Univera Facility/Professional Facility Modifier Low / Median / High Price $388.74 / $388.74 / $1,609.83	Facility		$388.74	$388.74	$1,609.83
Univera Facility/Professional Professional Modifier Low / Median / High Price $313.27 / $436.35 / $846.11	Professional		$313.27	$436.35	$846.11