Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $673.22 / $4,392.00 / $10,024.00	Facility		$673.22	$4,392.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $483.30 / $566.61 / $1,057.07	Professional		$483.30	$566.61	$1,057.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $3,373.00 / $4,707.00	Facility		$1,689.00	$3,373.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $443.49 / $579.73 / $1,216.08	Professional		$443.49	$579.73	$1,216.08
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $766.91 / $1,990.00 / $8,917.50	Facility		$766.91	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $766.91 / $766.91 / $766.91	Professional		$766.91	$766.91	$766.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.84 / $620.84 / $620.84	Facility		$620.84	$620.84	$620.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $543.03 / $811.76 / $2,034.83	Professional		$543.03	$811.76	$2,034.83
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $603.75 / $1,463.06	Facility		$332.00	$603.75	$1,463.06
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $598.40 / $849.54 / $1,254.98	Professional		$598.40	$849.54	$1,254.98
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $513.87 / $513.87 / $513.87	Facility		$513.87	$513.87	$513.87
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $440.90 / $556.67 / $1,155.30	Professional		$440.90	$556.67	$1,155.30
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $620.84	Facility		$555.00	$597.00	$620.84
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $562.64 / $811.76 / $1,887.87	Professional		$562.64	$811.76	$1,887.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.00 / $3,496.00 / $6,201.00	Facility		$1,348.00	$3,496.00	$6,201.00
United Facility/Professional Professional Modifier Low / Median / High Price $480.72 / $679.64 / $1,664.77	Professional		$480.72	$679.64	$1,664.77
Univera Facility/Professional Facility Modifier Low / Median / High Price $654.91 / $654.91 / $2,386.75	Facility		$654.91	$654.91	$2,386.75
Univera Facility/Professional Professional Modifier Low / Median / High Price $447.63 / $716.13 / $1,384.41	Professional		$447.63	$716.13	$1,384.41