Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $835.64 / $5,157.00 / $11,396.00	Facility		$835.64	$5,157.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $591.69 / $670.40 / $1,235.88	Professional		$591.69	$670.40	$1,235.88
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 $525.17 / $686.52 / $1,546.65	Professional		$525.17	$686.52	$1,546.65
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $906.03 / $906.03 / $12,319.50	Facility		$906.03	$906.03	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $906.03 / $906.03 / $906.03	Professional		$906.03	$906.03	$906.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $731.70 / $731.70 / $731.70	Facility		$731.70	$731.70	$731.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $640.85 / $990.20 / $2,306.01	Professional		$640.85	$990.20	$2,306.01
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $929.00 / $1,692.92	Facility		$332.00	$929.00	$1,692.92
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $710.40 / $988.07 / $1,452.15	Professional		$710.40	$988.07	$1,452.15
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $610.04 / $610.04 / $610.04	Facility		$610.04	$610.04	$610.04
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $532.19 / $771.56 / $1,361.05	Professional		$532.19	$771.56	$1,361.05
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $731.70	Facility		$555.00	$597.00	$731.70
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $658.85 / $966.79 / $2,281.15	Professional		$658.85	$966.79	$2,281.15
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 $587.50 / $817.38 / $1,993.11	Professional		$587.50	$817.38	$1,993.11
Univera Facility/Professional Facility Modifier Low / Median / High Price $771.56 / $771.56 / $2,897.35	Facility		$771.56	$771.56	$2,897.35
Univera Facility/Professional Professional Modifier Low / Median / High Price $533.23 / $850.17 / $1,630.96	Professional		$533.23	$850.17	$1,630.96