Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $628.51 / $5,411.00 / $13,407.00	Facility		$628.51	$5,411.00	$13,407.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $412.59 / $479.19 / $893.37	Professional		$412.59	$479.19	$893.37
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 $358.88 / $469.13 / $1,094.23	Professional		$358.88	$469.13	$1,094.23
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $648.14 / $3,478.50 / $13,477.50	Facility		$648.14	$3,478.50	$13,477.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $648.14 / $648.14 / $648.14	Professional		$648.14	$648.14	$648.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $526.36 / $526.36 / $526.36	Facility		$526.36	$526.36	$526.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $453.21 / $694.93 / $1,726.00	Professional		$453.21	$694.93	$1,726.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $660.00 / $1,239.61	Facility		$332.00	$660.00	$1,239.61
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $507.31 / $720.06 / $1,063.31	Professional		$507.31	$720.06	$1,063.31
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $435.65 / $435.65 / $435.65	Facility		$435.65	$435.65	$435.65
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $378.15 / $556.10 / $980.97	Professional		$378.15	$556.10	$980.97
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $526.36 / $555.00 / $597.00	Facility		$526.36	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $474.94 / $694.93 / $1,591.20	Professional		$474.94	$694.93	$1,591.20
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,248.00 / $11,200.00	Facility		$2,264.00	$5,248.00	$11,200.00
United Facility/Professional Professional Modifier Low / Median / High Price $405.51 / $579.54 / $1,382.19	Professional		$405.51	$579.54	$1,382.19
Univera Facility/Professional Facility Modifier Low / Median / High Price $556.10 / $556.10 / $1,552.22	Facility		$556.10	$556.10	$1,552.22
Univera Facility/Professional Professional Modifier Low / Median / High Price $381.96 / $607.13 / $1,175.51	Professional		$381.96	$607.13	$1,175.51