Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $807.00 / $3,841.00 / $9,038.00	Facility		$807.00	$3,841.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $555.79 / $644.41 / $1,200.36	Professional		$555.79	$644.41	$1,200.36
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 $481.88 / $629.91 / $1,471.33	Professional		$481.88	$629.91	$1,471.33
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $871.20 / $871.20 / $8,917.50	Facility		$871.20	$871.20	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $871.20 / $871.20 / $871.20	Professional		$871.20	$871.20	$871.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.88 / $707.88 / $707.88	Facility		$707.88	$707.88	$707.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $609.34 / $930.95 / $2,323.63	Professional		$609.34	$930.95	$2,323.63
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $735.00 / $1,668.62	Facility		$332.00	$735.00	$1,668.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $682.13 / $968.94 / $1,431.31	Professional		$682.13	$968.94	$1,431.31
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $585.77 / $585.77 / $585.77	Facility		$585.77	$585.77	$585.77
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $506.77 / $633.77 / $1,315.28	Professional		$506.77	$633.77	$1,315.28
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $707.88	Facility		$555.00	$597.00	$707.88
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $610.07 / $922.25 / $2,139.71	Professional		$610.07	$922.25	$2,139.71
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 $545.10 / $790.86 / $1,930.59	Professional		$545.10	$790.86	$1,930.59
Univera Facility/Professional Facility Modifier Low / Median / High Price $745.61 / $745.61 / $2,574.00	Facility		$745.61	$745.61	$2,574.00
Univera Facility/Professional Professional Modifier Low / Median / High Price $507.02 / $816.33 / $1,576.11	Professional		$507.02	$816.33	$1,576.11