Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $927.47 / $4,629.00 / $10,674.00	Facility		$927.47	$4,629.00	$10,674.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $637.14 / $759.93 / $1,329.43	Professional		$637.14	$759.93	$1,329.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $5,434.00 / $12,164.00	Facility		$3,283.00	$5,434.00	$12,164.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $587.80 / $768.39 / $1,721.44	Professional		$587.80	$768.39	$1,721.44
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $999.67 / $999.67 / $37,499.62	Facility		$999.67	$999.67	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $999.67 / $999.67 / $999.67	Professional		$999.67	$999.67	$999.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $778.94 / $778.94 / $778.94	Facility		$778.94	$778.94	$778.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $686.90 / $1,094.08 / $2,491.92	Professional		$686.90	$1,094.08	$2,491.92
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $783.00 / $1,790.51	Facility		$332.00	$783.00	$1,790.51
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $757.49 / $1,047.60 / $1,535.86	Professional		$757.49	$1,047.60	$1,535.86
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $650.49 / $650.49 / $650.49	Facility		$650.49	$650.49	$650.49
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $605.86 / $705.54 / $1,464.24	Professional		$605.86	$705.54	$1,464.24
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $778.94	Facility		$555.00	$597.00	$778.94
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $678.22 / $1,038.86 / $2,454.60	Professional		$678.22	$1,038.86	$2,454.60
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 $611.07 / $862.68 / $2,121.73	Professional		$611.07	$862.68	$2,121.73
Univera Facility/Professional Facility Modifier Low / Median / High Price $830.05 / $830.05 / $3,032.61	Facility		$830.05	$830.05	$3,032.61
Univera Facility/Professional Professional Modifier Low / Median / High Price $628.33 / $906.52 / $1,754.60	Professional		$628.33	$906.52	$1,754.60