Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.00 / $4,392.00 / $10,024.00	Facility		$645.00	$4,392.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $429.05 / $542.64 / $1,008.54	Professional		$429.05	$542.64	$1,008.54
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 $402.35 / $525.95 / $1,080.84	Professional		$402.35	$525.95	$1,080.84
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $731.86 / $731.86 / $8,917.50	Facility		$731.86	$731.86	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $731.86 / $731.86 / $731.86	Professional		$731.86	$731.86	$731.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $598.53 / $598.53 / $598.53	Facility		$598.53	$598.53	$598.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $509.10 / $734.42 / $2,006.96	Professional		$509.10	$734.42	$2,006.96
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $725.00 / $1,409.81	Facility		$332.00	$725.00	$1,409.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $576.78 / $789.49 / $1,209.30	Professional		$576.78	$789.49	$1,209.30
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $495.31 / $495.31 / $495.31	Facility		$495.31	$495.31	$495.31
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $393.19 / $535.79 / $1,111.95	Professional		$393.19	$535.79	$1,111.95
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $598.53	Facility		$555.00	$597.00	$598.53
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $518.94 / $734.42 / $1,838.62	Professional		$518.94	$734.42	$1,838.62
United Facility/Professional Facility Modifier Low / Median / High Price $2,031.00 / $4,840.00 / $9,416.00	Facility		$2,031.00	$4,840.00	$9,416.00
United Facility/Professional Professional Modifier Low / Median / High Price $462.64 / $633.55 / $1,578.71	Professional		$462.64	$633.55	$1,578.71
Univera Facility/Professional Facility Modifier Low / Median / High Price $630.35 / $630.35 / $2,146.94	Facility		$630.35	$630.35	$2,146.94
Univera Facility/Professional Professional Modifier Low / Median / High Price $395.90 / $690.27 / $1,332.46	Professional		$395.90	$690.27	$1,332.46