Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $669.83 / $4,629.00 / $10,674.00	Facility		$669.83	$4,629.00	$10,674.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $480.13 / $551.37 / $1,006.48	Professional		$480.13	$551.37	$1,006.48
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 $420.93 / $550.24 / $1,263.94	Professional		$420.93	$550.24	$1,263.94
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $726.60 / $726.60 / $10,957.50	Facility		$726.60	$726.60	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $726.60 / $726.60 / $726.60	Professional		$726.60	$726.60	$726.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $594.91 / $594.91 / $594.91	Facility		$594.91	$594.91	$594.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $520.54 / $810.48 / $1,884.86	Professional		$520.54	$810.48	$1,884.86
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $688.00 / $1,377.92	Facility		$332.00	$688.00	$1,377.92
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $576.17 / $803.68 / $1,181.95	Professional		$576.17	$803.68	$1,181.95
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $494.79 / $494.79 / $494.79	Facility		$494.79	$494.79	$494.79
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $435.89 / $539.51 / $1,119.66	Professional		$435.89	$539.51	$1,119.66
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $594.91 / $597.00	Facility		$555.00	$594.91	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $532.32 / $783.80 / $1,836.06	Professional		$532.32	$783.80	$1,836.06
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 $455.11 / $639.70 / $1,604.70	Professional		$455.11	$639.70	$1,604.70
Univera Facility/Professional Facility Modifier Low / Median / High Price $634.72 / $634.72 / $2,312.42	Facility		$634.72	$634.72	$2,312.42
Univera Facility/Professional Professional Modifier Low / Median / High Price $443.42 / $689.54 / $1,341.70	Professional		$443.42	$689.54	$1,341.70