Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,508.00 / $4,200.00 / $10,170.00	Facility		$1,508.00	$4,200.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $547.55 / $938.70 / $13,531.45	Professional		$547.55	$938.70	$13,531.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,051.00 / $9,301.00 / $15,887.00	Facility		$4,051.00	$9,301.00	$15,887.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $377.31 / $468.55 / $839.59	Professional		$377.31	$468.55	$839.59
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $655.29 / $655.29 / $37,499.62	Facility		$655.29	$655.29	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $655.29 / $655.29 / $655.29	Professional		$655.29	$655.29	$655.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $989.08 / $989.08 / $989.08	Facility		$989.08	$989.08	$989.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,832.91 / $2,832.91 / $2,832.91	Professional		$2,832.91	$2,832.91	$2,832.91
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $701.00 / $854.00 / $1,750.70	Facility		$701.00	$854.00	$1,750.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $964.00 / $964.00 / $964.00	Professional		$964.00	$964.00	$964.00
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $558.79 / $558.79 / $558.79	Facility		$558.79	$558.79	$558.79
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $285.14 / $838.20 / $1,843.28	Professional		$285.14	$838.20	$1,843.28
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $989.08	Facility		$555.00	$597.00	$989.08
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,832.91 / $2,832.91 / $2,832.91	Professional		$2,832.91	$2,832.91	$2,832.91
United Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,826.00 / $4,851.00	Facility		$964.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $422.25 / $669.38 / $1,823.72	Professional		$422.25	$669.38	$1,823.72
Univera Facility/Professional Facility Modifier Low / Median / High Price $317.45 / $835.94 / $835.94	Facility		$317.45	$835.94	$835.94
Univera Facility/Professional Professional Modifier Low / Median / High Price $558.79 / $835.94 / $1,843.28	Professional		$558.79	$835.94	$1,843.28