Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $677.56 / $5,069.00 / $11,880.00	Facility		$677.56	$5,069.00	$11,880.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $509.95 / $624.24 / $1,359.22	Professional		$509.95	$624.24	$1,359.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,357.00 / $10,351.00	Facility		$2,393.00	$4,357.00	$10,351.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $442.07 / $577.87 / $1,337.21	Professional		$442.07	$577.87	$1,337.21
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $743.74 / $743.74 / $37,499.62	Facility		$743.74	$743.74	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $743.74 / $743.74 / $743.74	Professional		$743.74	$743.74	$743.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $607.54 / $607.54 / $607.54	Facility		$607.54	$607.54	$607.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $551.16 / $903.52 / $2,071.14	Professional		$551.16	$903.52	$2,071.14
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $750.00 / $1,418.31	Facility		$332.00	$750.00	$1,418.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $567.83 / $818.55 / $1,216.58	Professional		$567.83	$818.55	$1,216.58
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $487.62 / $487.62 / $487.62	Facility		$487.62	$487.62	$487.62
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $441.41 / $624.71 / $1,102.01	Professional		$441.41	$624.71	$1,102.01
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $607.54	Facility		$555.00	$597.00	$607.54
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $560.83 / $861.08 / $1,979.92	Professional		$560.83	$861.08	$1,979.92
United Facility/Professional Facility Modifier Low / Median / High Price $2,341.00 / $6,700.00 / $16,782.00	Facility		$2,341.00	$6,700.00	$16,782.00
United Facility/Professional Professional Modifier Low / Median / High Price $485.76 / $688.13 / $1,715.46	Professional		$485.76	$688.13	$1,715.46
Univera Facility/Professional Facility Modifier Low / Median / High Price $624.71 / $624.71 / $2,924.87	Facility		$624.71	$624.71	$2,924.87
Univera Facility/Professional Professional Modifier Low / Median / High Price $525.58 / $679.55 / $1,320.54	Professional		$525.58	$679.55	$1,320.54