Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $802.25 / $4,409.00 / $10,024.00	Facility		$802.25	$4,409.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $555.91 / $648.66 / $1,320.23	Professional		$555.91	$648.66	$1,320.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,046.00 / $7,264.00 / $12,538.00	Facility		$4,046.00	$7,264.00	$12,538.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $526.32 / $688.01 / $1,500.04	Professional		$526.32	$688.01	$1,500.04
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $875.61 / $1,990.00 / $8,917.50	Facility		$875.61	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $875.61 / $875.61 / $875.61	Professional		$875.61	$875.61	$875.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $690.84 / $690.84 / $690.84	Facility		$690.84	$690.84	$690.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $606.49 / $951.22 / $2,201.30	Professional		$606.49	$951.22	$2,201.30
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $807.00 / $1,595.34	Facility		$332.00	$807.00	$1,595.34
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $667.22 / $930.39 / $1,368.45	Professional		$667.22	$930.39	$1,368.45
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $572.96 / $572.96 / $572.96	Facility		$572.96	$572.96	$572.96
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $522.97 / $625.54 / $1,298.22	Professional		$522.97	$625.54	$1,298.22
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $690.84	Facility		$555.00	$597.00	$690.84
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $630.26 / $936.91 / $2,194.31	Professional		$630.26	$936.91	$2,194.31
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,963.00 / $14,457.00	Facility		$2,264.00	$5,963.00	$14,457.00
United Facility/Professional Professional Modifier Low / Median / High Price $561.49 / $780.40 / $1,815.79	Professional		$561.49	$780.40	$1,815.79
Univera Facility/Professional Facility Modifier Low / Median / High Price $735.94 / $735.94 / $2,903.52	Facility		$735.94	$735.94	$2,903.52
Univera Facility/Professional Professional Modifier Low / Median / High Price $542.78 / $765.38 / $1,555.66	Professional		$542.78	$765.38	$1,555.66