Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $686.98 / $5,157.00 / $11,396.00	Facility		$686.98	$5,157.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $484.65 / $575.79 / $948.14	Professional		$484.65	$575.79	$948.14
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 $461.99 / $594.25 / $1,340.79	Professional		$461.99	$594.25	$1,340.79
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $694.73 / $2,644.00 / $12,319.50	Facility		$694.73	$2,644.00	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $694.73 / $694.73 / $694.73	Professional		$694.73	$694.73	$694.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $559.83 / $559.83 / $559.83	Facility		$559.83	$559.83	$559.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $490.39 / $849.46 / $1,890.73	Professional		$490.39	$849.46	$1,890.73
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $699.00 / $1,278.83	Facility		$332.00	$699.00	$1,278.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $546.33 / $749.02 / $1,096.95	Professional		$546.33	$749.02	$1,096.95
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $469.15 / $469.15 / $469.15	Facility		$469.15	$469.15	$469.15
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $431.61 / $529.99 / $1,040.89	Professional		$431.61	$529.99	$1,040.89
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $559.83 / $597.00	Facility		$555.00	$559.83	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $522.00 / $798.37 / $1,847.65	Professional		$522.00	$798.37	$1,847.65
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 $449.40 / $634.45 / $1,514.15	Professional		$449.40	$634.45	$1,514.15
Univera Facility/Professional Facility Modifier Low / Median / High Price $590.07 / $590.07 / $2,378.88	Facility		$590.07	$590.07	$2,378.88
Univera Facility/Professional Professional Modifier Low / Median / High Price $462.22 / $653.79 / $1,247.31	Professional		$462.22	$653.79	$1,247.31