Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $747.98 / $3,951.00 / $10,170.00	Facility		$747.98	$3,951.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $500.67 / $591.16 / $1,101.89	Professional		$500.67	$591.16	$1,101.89
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 $441.16 / $576.67 / $1,333.00	Professional		$441.16	$576.67	$1,333.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $799.32 / $1,716.00 / $6,213.00	Facility		$799.32	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $799.32 / $799.32 / $799.32	Professional		$799.32	$799.32	$799.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $648.37 / $648.37 / $648.37	Facility		$648.37	$648.37	$648.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $563.79 / $852.67 / $2,122.46	Professional		$563.79	$852.67	$2,122.46
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $617.32 / $1,527.48	Facility		$332.00	$617.32	$1,527.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $624.89 / $887.13 / $1,310.24	Professional		$624.89	$887.13	$1,310.24
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $536.62 / $536.62 / $536.62	Facility		$536.62	$536.62	$536.62
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $452.29 / $581.82 / $1,207.46	Professional		$452.29	$581.82	$1,207.46
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $648.37	Facility		$555.00	$597.00	$648.37
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $579.66 / $843.92 / $1,957.95	Professional		$579.66	$843.92	$1,957.95
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 $505.52 / $751.27 / $1,874.34	Professional		$505.52	$751.27	$1,874.34
Univera Facility/Professional Facility Modifier Low / Median / High Price $684.49 / $684.49 / $2,450.33	Facility		$684.49	$684.49	$2,450.33
Univera Facility/Professional Professional Modifier Low / Median / High Price $452.29 / $747.84 / $1,446.91	Professional		$452.29	$747.84	$1,446.91