Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $620.16 / $3,414.00 / $9,267.00	Facility		$620.16	$3,414.00	$9,267.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $451.34 / $609.23 / $1,198.11	Professional		$451.34	$609.23	$1,198.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,385.00 / $4,133.00 / $9,074.00	Facility		$2,385.00	$4,133.00	$9,074.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $472.53 / $599.15 / $1,405.05	Professional		$472.53	$599.15	$1,405.05
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $768.69 / $768.69 / $8,917.50	Facility		$768.69	$768.69	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $768.69 / $768.69 / $956.80	Professional		$768.69	$768.69	$956.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $963.94 / $963.94 / $963.94	Facility		$963.94	$963.94	$963.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $530.80 / $845.22 / $2,170.03	Professional		$530.80	$845.22	$2,170.03
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $282.00 / $569.60 / $1,554.26	Facility		$282.00	$569.60	$1,554.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $797.66 / $1,088.51 / $1,667.33	Professional		$797.66	$1,088.51	$1,667.33
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $691.68 / $691.68 / $691.68	Facility		$691.68	$691.68	$691.68
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $424.64 / $769.38 / $1,596.71	Professional		$424.64	$769.38	$1,596.71
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $963.94	Facility		$555.00	$597.00	$963.94
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $556.29 / $873.98 / $2,159.75	Professional		$556.29	$873.98	$2,159.75
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 $541.69 / $812.26 / $2,091.54	Professional		$541.69	$812.26	$2,091.54
Univera Facility/Professional Facility Modifier Low / Median / High Price $723.90 / $723.90 / $1,326.31	Facility		$723.90	$723.90	$1,326.31
Univera Facility/Professional Professional Modifier Low / Median / High Price $510.54 / $963.92 / $1,596.71	Professional		$510.54	$963.92	$1,596.71