Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $673.73 / $3,917.00 / $10,170.00	Facility		$673.73	$3,917.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $454.94 / $530.38 / $987.67	Professional		$454.94	$530.38	$987.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,248.00 / $5,196.00 / $11,909.00	Facility		$3,248.00	$5,196.00	$11,909.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $394.15 / $515.23 / $1,198.80	Professional		$394.15	$515.23	$1,198.80
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $716.48 / $1,716.00 / $6,213.00	Facility		$716.48	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $716.48 / $716.48 / $716.48	Professional		$716.48	$716.48	$716.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $583.27 / $583.27 / $583.27	Facility		$583.27	$583.27	$583.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $504.28 / $763.30 / $1,908.95	Professional		$504.28	$763.30	$1,908.95
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $660.00 / $1,374.23	Facility		$332.00	$660.00	$1,374.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $562.04 / $798.20 / $1,178.79	Professional		$562.04	$798.20	$1,178.79
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $482.64 / $482.64 / $482.64	Facility		$482.64	$482.64	$482.64
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $412.55 / $614.84 / $1,084.58	Professional		$412.55	$614.84	$1,084.58
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $583.27 / $597.00	Facility		$555.00	$583.27	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $523.29 / $772.48 / $1,753.03	Professional		$523.29	$772.48	$1,753.03
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 $446.80 / $645.37 / $1,547.64	Professional		$446.80	$645.37	$1,547.64
Univera Facility/Professional Facility Modifier Low / Median / High Price $614.84 / $614.84 / $2,222.26	Facility		$614.84	$614.84	$2,222.26
Univera Facility/Professional Professional Modifier Low / Median / High Price $412.55 / $672.61 / $1,299.67	Professional		$412.55	$672.61	$1,299.67