Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $659.80 / $4,648.00 / $11,080.00	Facility		$659.80	$4,648.00	$11,080.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $447.70 / $526.49 / $981.68	Professional		$447.70	$526.49	$981.68
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 $406.77 / $531.73 / $1,215.09	Professional		$406.77	$531.73	$1,215.09
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $711.55 / $2,390.00 / $10,957.50	Facility		$711.55	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $711.55 / $711.55 / $711.55	Professional		$711.55	$711.55	$711.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $578.80 / $578.80 / $578.80	Facility		$578.80	$578.80	$578.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $500.51 / $758.90 / $1,895.40	Professional		$500.51	$758.90	$1,895.40
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $695.00 / $1,363.91	Facility		$332.00	$695.00	$1,363.91
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $557.69 / $792.19 / $1,169.93	Professional		$557.69	$792.19	$1,169.93
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $478.91 / $478.91 / $478.91	Facility		$478.91	$478.91	$478.91
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $414.40 / $610.13 / $1,076.29	Professional		$414.40	$610.13	$1,076.29
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $578.80 / $597.00	Facility		$555.00	$578.80	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $517.61 / $748.43 / $1,737.68	Professional		$517.61	$748.43	$1,737.68
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 $449.75 / $646.45 / $1,627.06	Professional		$449.75	$646.45	$1,627.06
Univera Facility/Professional Facility Modifier Low / Median / High Price $610.13 / $610.13 / $2,211.44	Facility		$610.13	$610.13	$2,211.44
Univera Facility/Professional Professional Modifier Low / Median / High Price $414.89 / $667.41 / $1,289.72	Professional		$414.89	$667.41	$1,289.72