Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $807.31 / $1,679.61 / $4,876.64	Facility		$807.31	$1,679.61	$4,876.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.04 / $807.31 / $1,504.21	Professional		$691.04	$807.31	$1,504.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $692.69 / $860.21 / $2,247.73	Professional		$692.69	$860.21	$2,247.73
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,155.20 / $1,155.20 / $1,155.20	Facility		$1,155.20	$1,155.20	$1,155.20
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,155.20 / $1,155.20 / $1,155.20	Professional		$1,155.20	$1,155.20	$1,155.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $249.40 / $319.97 / $2,784.39	Facility		$249.40	$319.97	$2,784.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $628.74 / $1,324.79 / $2,766.55	Professional		$628.74	$1,324.79	$2,766.55
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,059.49 / $2,606.29	Facility		$332.00	$1,059.49	$2,606.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $903.20 / $1,178.32 / $2,003.95	Professional		$903.20	$1,178.32	$2,003.95
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $263.51 / $263.51 / $263.51	Facility		$263.51	$263.51	$263.51
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.51 / $836.05 / $1,477.63	Professional		$263.51	$836.05	$1,477.63
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $254.50 / $555.00 / $3,062.83	Facility		$254.50	$555.00	$3,062.83
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $775.70 / $1,306.43 / $2,644.48	Professional		$775.70	$1,306.43	$2,644.48
United Facility/Professional Facility Modifier Low / Median / High Price $458.19 / $1,212.83 / $1,600.68	Facility		$458.19	$1,212.83	$1,600.68
United Facility/Professional Professional Modifier Low / Median / High Price $763.80 / $975.78 / $2,079.23	Professional		$763.80	$975.78	$2,079.23
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,032.26 / $1,032.26 / $1,181.58	Facility		$1,032.26	$1,032.26	$1,181.58
Univera Facility/Professional Professional Modifier Low / Median / High Price $573.47 / $1,181.58 / $2,254.16	Professional		$573.47	$1,181.58	$2,254.16