Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $809.09 / $3,841.00 / $9,038.00	Facility		$809.09	$3,841.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $561.88 / $662.46 / $1,234.09	Professional		$561.88	$662.46	$1,234.09
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 $496.37 / $648.86 / $1,497.67	Professional		$496.37	$648.86	$1,497.67
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $896.32 / $1,716.00 / $6,213.00	Facility		$896.32	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $896.32 / $896.32 / $896.32	Professional		$896.32	$896.32	$896.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $725.37 / $725.37 / $725.37	Facility		$725.37	$725.37	$725.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $626.74 / $955.54 / $2,388.06	Professional		$626.74	$955.54	$2,388.06
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $840.00 / $1,709.51	Facility		$332.00	$840.00	$1,709.51
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $699.13 / $992.63 / $1,466.38	Professional		$699.13	$992.63	$1,466.38
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $600.37 / $600.37 / $600.37	Facility		$600.37	$600.37	$600.37
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $520.05 / $764.80 / $1,349.12	Professional		$520.05	$764.80	$1,349.12
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $725.37	Facility		$555.00	$597.00	$725.37
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $645.82 / $950.58 / $2,207.04	Professional		$645.82	$950.58	$2,207.04
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $6,054.00 / $11,176.00	Facility		$2,264.00	$6,054.00	$11,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $561.66 / $824.73 / $1,989.95	Professional		$561.66	$824.73	$1,989.95
Univera Facility/Professional Facility Modifier Low / Median / High Price $764.80 / $764.80 / $2,898.79	Facility		$764.80	$764.80	$2,898.79
Univera Facility/Professional Professional Modifier Low / Median / High Price $532.99 / $836.68 / $1,616.65	Professional		$532.99	$836.68	$1,616.65