Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $607.65 / $3,951.00 / $10,170.00	Facility		$607.65	$3,951.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $396.48 / $491.46 / $954.28	Professional		$396.48	$491.46	$954.28
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 $348.61 / $455.70 / $1,038.23	Professional		$348.61	$455.70	$1,038.23
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $608.17 / $1,716.00 / $6,213.00	Facility		$608.17	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $608.17 / $608.17 / $608.17	Professional		$608.17	$608.17	$608.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.28 / $489.28 / $489.28	Facility		$489.28	$489.28	$489.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $415.98 / $679.71 / $1,865.43	Professional		$415.98	$679.71	$1,865.43
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $495.00 / $1,156.32	Facility		$332.00	$495.00	$1,156.32
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $465.30 / $668.75 / $991.87	Professional		$465.30	$668.75	$991.87
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $399.57 / $399.57 / $399.57	Facility		$399.57	$399.57	$399.57
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $348.05 / $497.10 / $902.90	Professional		$348.05	$497.10	$902.90
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $489.28 / $555.00 / $36,596.00	Facility		$489.28	$555.00	$36,596.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $436.83 / $684.94 / $1,766.00	Professional		$436.83	$684.94	$1,766.00
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 $391.81 / $583.53 / $1,376.42	Professional		$391.81	$583.53	$1,376.42
Univera Facility/Professional Facility Modifier Low / Median / High Price $497.10 / $497.10 / $1,977.61	Facility		$497.10	$497.10	$1,977.61
Univera Facility/Professional Professional Modifier Low / Median / High Price $374.66 / $547.89 / $1,081.95	Professional		$374.66	$547.89	$1,081.95