Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $619.88 / $4,452.00 / $10,686.00	Facility		$619.88	$4,452.00	$10,686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $401.88 / $492.85 / $918.90	Professional		$401.88	$492.85	$918.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,385.00 / $4,133.00 / $9,074.00	Facility		$2,385.00	$4,133.00	$9,074.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $383.15 / $496.00 / $1,098.50	Professional		$383.15	$496.00	$1,098.50
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $666.76 / $1,990.00 / $8,917.50	Facility		$666.76	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $666.76 / $666.76 / $666.76	Professional		$666.76	$666.76	$666.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $542.35 / $542.35 / $542.35	Facility		$542.35	$542.35	$542.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $465.00 / $686.67 / $1,763.86	Professional		$465.00	$686.67	$1,763.86
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $330.00 / $516.62 / $1,277.17	Facility		$330.00	$516.62	$1,277.17
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $522.67 / $741.96 / $1,095.53	Professional		$522.67	$741.96	$1,095.53
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $448.85 / $448.85 / $448.85	Facility		$448.85	$448.85	$448.85
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $376.38 / $486.78 / $1,010.23	Professional		$376.38	$486.78	$1,010.23
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $542.35 / $555.00 / $597.00	Facility		$542.35	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $482.65 / $686.67 / $1,632.47	Professional		$482.65	$686.67	$1,632.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,768.00 / $4,176.00 / $8,312.00	Facility		$1,768.00	$4,176.00	$8,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $421.59 / $597.10 / $1,507.24	Professional		$421.59	$597.10	$1,507.24
Univera Facility/Professional Facility Modifier Low / Median / High Price $572.67 / $572.67 / $1,989.72	Facility		$572.67	$572.67	$1,989.72
Univera Facility/Professional Professional Modifier Low / Median / High Price $376.38 / $595.59 / $1,210.56	Professional		$376.38	$595.59	$1,210.56