Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $548.59 / $2,952.00 / $8,134.00	Facility		$548.59	$2,952.00	$8,134.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $358.88 / $633.75 / $1,269.36	Professional		$358.88	$633.75	$1,269.36
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 $531.48 / $693.88 / $1,532.91	Professional		$531.48	$693.88	$1,532.91
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $504.84 / $1,716.00 / $6,213.00	Facility		$504.84	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $504.84 / $504.84 / $914.97	Professional		$504.84	$504.84	$914.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $609.29 / $609.29 / $609.29	Facility		$609.29	$609.29	$609.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $395.50 / $814.90 / $2,203.16	Professional		$395.50	$814.90	$2,203.16
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $270.00 / $391.60 / $938.18	Facility		$270.00	$391.60	$938.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $728.98 / $972.33 / $1,383.10	Professional		$728.98	$972.33	$1,383.10
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $578.77 / $578.77 / $578.77	Facility		$578.77	$578.77	$578.77
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $463.02 / $645.84 / $1,305.45	Professional		$463.02	$645.84	$1,305.45
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $609.29	Facility		$555.00	$597.00	$609.29
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $395.50 / $876.96 / $2,203.16	Professional		$395.50	$876.96	$2,203.16
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 $568.91 / $818.49 / $2,055.42	Professional		$568.91	$818.49	$2,055.42
Univera Facility/Professional Facility Modifier Low / Median / High Price $429.28 / $429.28 / $1,639.36	Facility		$429.28	$429.28	$1,639.36
Univera Facility/Professional Professional Modifier Low / Median / High Price $463.02 / $806.58 / $1,305.45	Professional		$463.02	$806.58	$1,305.45