Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $798.80 / $4,392.00 / $10,024.00	Facility		$798.80	$4,392.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.79 / $652.52 / $1,215.40	Professional		$562.79	$652.52	$1,215.40
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 $488.17 / $638.14 / $1,486.98	Professional		$488.17	$638.14	$1,486.98
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $882.29 / $1,990.00 / $8,917.50	Facility		$882.29	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $882.29 / $882.29 / $882.29	Professional		$882.29	$882.29	$882.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.96 / $714.96 / $714.96	Facility		$714.96	$714.96	$714.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $623.84 / $939.67 / $2,354.76	Professional		$623.84	$939.67	$2,354.76
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $774.00 / $1,685.03	Facility		$332.00	$774.00	$1,685.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $689.04 / $978.45 / $1,445.38	Professional		$689.04	$978.45	$1,445.38
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $591.70 / $591.70 / $591.70	Facility		$591.70	$591.70	$591.70
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $498.82 / $753.94 / $1,329.97	Professional		$498.82	$753.94	$1,329.97
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $714.96	Facility		$555.00	$597.00	$714.96
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $637.60 / $934.48 / $2,167.73	Professional		$637.60	$934.48	$2,167.73
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 $552.21 / $801.24 / $2,022.38	Professional		$552.21	$801.24	$2,022.38
Univera Facility/Professional Facility Modifier Low / Median / High Price $753.94 / $753.94 / $2,658.65	Facility		$753.94	$753.94	$2,658.65
Univera Facility/Professional Professional Modifier Low / Median / High Price $512.67 / $784.10 / $1,593.71	Professional		$512.67	$784.10	$1,593.71