Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.72 / $3,951.00 / $10,170.00	Facility		$755.72	$3,951.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $511.57 / $597.14 / $1,112.01	Professional		$511.57	$597.14	$1,112.01
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 $445.53 / $582.40 / $1,355.24	Professional		$445.53	$582.40	$1,355.24
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $807.09 / $1,716.00 / $6,213.00	Facility		$807.09	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $807.09 / $807.09 / $807.09	Professional		$807.09	$807.09	$807.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $655.05 / $655.05 / $655.05	Facility		$655.05	$655.05	$655.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $569.32 / $860.38 / $2,151.69	Professional		$569.32	$860.38	$2,151.69
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $623.72 / $1,543.77	Facility		$332.00	$623.72	$1,543.77
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $631.28 / $896.49 / $1,324.21	Professional		$631.28	$896.49	$1,324.21
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $542.10 / $542.10 / $542.10	Facility		$542.10	$542.10	$542.10
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $465.92 / $691.24 / $1,219.35	Professional		$465.92	$691.24	$1,219.35
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $655.05	Facility		$555.00	$597.00	$655.05
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $585.39 / $852.10 / $1,978.70	Professional		$585.39	$852.10	$1,978.70
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 $511.89 / $728.77 / $1,786.11	Professional		$511.89	$728.77	$1,786.11
Univera Facility/Professional Facility Modifier Low / Median / High Price $691.24 / $691.24 / $2,488.27	Facility		$691.24	$691.24	$2,488.27
Univera Facility/Professional Professional Modifier Low / Median / High Price $470.04 / $755.47 / $1,461.16	Professional		$470.04	$755.47	$1,461.16