Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $855.57 / $5,012.00 / $11,161.00	Facility		$855.57	$5,012.00	$11,161.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $596.11 / $691.34 / $1,242.07	Professional		$596.11	$691.34	$1,242.07
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 $549.66 / $718.53 / $1,564.44	Professional		$549.66	$718.53	$1,564.44
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $908.17 / $908.17 / $37,499.62	Facility		$908.17	$908.17	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $908.17 / $908.17 / $908.17	Professional		$908.17	$908.17	$908.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $713.09 / $713.09 / $713.09	Facility		$713.09	$713.09	$713.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $631.38 / $1,015.11 / $2,363.15	Professional		$631.38	$1,015.11	$2,363.15
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $785.00 / $1,653.64	Facility		$332.00	$785.00	$1,653.64
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $691.74 / $964.53 / $1,418.45	Professional		$691.74	$964.53	$1,418.45
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $594.02 / $594.02 / $594.02	Facility		$594.02	$594.02	$594.02
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $544.29 / $747.99 / $1,319.47	Professional		$544.29	$747.99	$1,319.47
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $713.09	Facility		$555.00	$597.00	$713.09
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $652.84 / $976.02 / $2,258.62	Professional		$652.84	$976.02	$2,258.62
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 $541.99 / $764.78 / $1,865.59	Professional		$541.99	$764.78	$1,865.59
Univera Facility/Professional Facility Modifier Low / Median / High Price $747.99 / $747.99 / $3,058.07	Facility		$747.99	$747.99	$3,058.07
Univera Facility/Professional Professional Modifier Low / Median / High Price $568.59 / $827.82 / $1,581.13	Professional		$568.59	$827.82	$1,581.13