Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $715.15 / $4,392.00 / $10,024.00	Facility		$715.15	$4,392.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $515.79 / $596.07 / $1,110.78	Professional		$515.79	$596.07	$1,110.78
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 $458.86 / $599.83 / $1,386.24	Professional		$458.86	$599.83	$1,386.24
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $806.11 / $1,990.00 / $8,917.50	Facility		$806.11	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $806.11 / $806.11 / $806.11	Professional		$806.11	$806.11	$806.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $654.32 / $654.32 / $654.32	Facility		$654.32	$654.32	$654.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $563.35 / $851.85 / $2,148.23	Professional		$563.35	$851.85	$2,148.23
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $265.00 / $432.00 / $1,542.13	Facility		$265.00	$432.00	$1,542.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $630.54 / $895.52 / $1,322.80	Professional		$630.54	$895.52	$1,322.80
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $541.47 / $541.47 / $541.47	Facility		$541.47	$541.47	$541.47
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $456.06 / $689.73 / $1,216.69	Professional		$456.06	$689.73	$1,216.69
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $654.32	Facility		$555.00	$597.00	$654.32
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $568.97 / $851.85 / $1,976.50	Professional		$568.97	$851.85	$1,976.50
United Facility/Professional Facility Modifier Low / Median / High Price $2,031.00 / $4,840.00 / $9,416.00	Facility		$2,031.00	$4,840.00	$9,416.00
United Facility/Professional Professional Modifier Low / Median / High Price $505.46 / $720.97 / $1,729.96	Professional		$505.46	$720.97	$1,729.96
Univera Facility/Professional Facility Modifier Low / Median / High Price $689.73 / $689.73 / $2,306.75	Facility		$689.73	$689.73	$2,306.75
Univera Facility/Professional Professional Modifier Low / Median / High Price $456.06 / $754.59 / $1,457.97	Professional		$456.06	$754.59	$1,457.97