Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $833.72 / $4,392.00 / $10,024.00	Facility		$833.72	$4,392.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $592.32 / $681.29 / $1,270.20	Professional		$592.32	$681.29	$1,270.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,749.00 / $9,877.00 / $16,490.00	Facility		$4,749.00	$9,877.00	$16,490.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $510.85 / $667.79 / $1,560.25	Professional		$510.85	$667.79	$1,560.25
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $921.41 / $1,990.00 / $8,917.50	Facility		$921.41	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $921.41 / $921.41 / $921.41	Professional		$921.41	$921.41	$921.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $746.20 / $746.20 / $746.20	Facility		$746.20	$746.20	$746.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $651.27 / $983.51 / $2,460.23	Professional		$651.27	$983.51	$2,460.23
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $710.25 / $1,758.85	Facility		$332.00	$710.25	$1,758.85
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $719.16 / $1,021.25 / $1,508.70	Professional		$719.16	$1,021.25	$1,508.70
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $617.57 / $617.57 / $617.57	Facility		$617.57	$617.57	$617.57
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $532.91 / $786.53 / $1,387.46	Professional		$532.91	$786.53	$1,387.46
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $746.20	Facility		$555.00	$597.00	$746.20
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $673.13 / $977.55 / $2,264.69	Professional		$673.13	$977.55	$2,264.69
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 $581.91 / $842.19 / $1,995.49	Professional		$581.91	$842.19	$1,995.49
Univera Facility/Professional Facility Modifier Low / Median / High Price $786.53 / $786.53 / $2,896.51	Facility		$786.53	$786.53	$2,896.51
Univera Facility/Professional Professional Modifier Low / Median / High Price $532.91 / $860.65 / $1,662.60	Professional		$532.91	$860.65	$1,662.60