Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,508.00 / $4,072.00 / $10,686.00	Facility		$1,508.00	$4,072.00	$10,686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $294.39 / $475.97 / $929.61	Professional		$294.39	$475.97	$929.61
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 $344.39 / $427.68 / $812.22	Professional		$344.39	$427.68	$812.22
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $587.94 / $587.94 / $37,499.62	Facility		$587.94	$587.94	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $587.94 / $587.94 / $587.94	Professional		$587.94	$587.94	$587.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $919.07 / $919.07 / $919.07	Facility		$919.07	$919.07	$919.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,786.10 / $2,786.10 / $2,786.10	Professional		$2,786.10	$2,786.10	$2,786.10
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $547.26 / $1,097.59	Facility		$319.00	$547.26	$1,097.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $463.66 / $660.51 / $986.90	Professional		$463.66	$660.51	$986.90
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $390.90 / $390.90 / $390.90	Facility		$390.90	$390.90	$390.90
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $332.27 / $547.26 / $861.95	Professional		$332.27	$547.26	$861.95
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $919.07	Facility		$555.00	$597.00	$919.07
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,786.10 / $2,786.10 / $2,786.10	Professional		$2,786.10	$2,786.10	$2,786.10
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 $351.77 / $488.63 / $1,164.32	Professional		$351.77	$488.63	$1,164.32
Univera Facility/Professional Facility Modifier Low / Median / High Price $370.63 / $488.63 / $488.63	Facility		$370.63	$488.63	$488.63
Univera Facility/Professional Professional Modifier Low / Median / High Price $370.63 / $546.70 / $1,032.88	Professional		$370.63	$546.70	$1,032.88