Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $664.51 / $4,392.00 / $10,024.00	Facility		$664.51	$4,392.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $464.40 / $526.90 / $1,024.24	Professional		$464.40	$526.90	$1,024.24
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 $408.47 / $533.96 / $1,212.03	Professional		$408.47	$533.96	$1,212.03
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $707.12 / $1,990.00 / $8,917.50	Facility		$707.12	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $707.12 / $707.12 / $707.12	Professional		$707.12	$707.12	$707.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $578.80 / $578.80 / $578.80	Facility		$578.80	$578.80	$578.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $500.88 / $798.20 / $1,896.67	Professional		$500.88	$798.20	$1,896.67
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $876.52 / $1,622.40	Facility		$332.00	$876.52	$1,622.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $557.76 / $792.05 / $1,169.70	Professional		$557.76	$792.05	$1,169.70
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $478.97 / $478.97 / $478.97	Facility		$478.97	$478.97	$478.97
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $414.88 / $610.12 / $1,076.27	Professional		$414.88	$610.12	$1,076.27
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $578.80 / $597.00	Facility		$555.00	$578.80	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $515.72 / $820.56 / $1,740.35	Professional		$515.72	$820.56	$1,740.35
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 $444.93 / $645.37 / $1,516.49	Professional		$444.93	$645.37	$1,516.49
Univera Facility/Professional Facility Modifier Low / Median / High Price $610.12 / $610.12 / $2,547.30	Facility		$610.12	$610.12	$2,547.30
Univera Facility/Professional Professional Modifier Low / Median / High Price $446.65 / $667.50 / $1,289.70	Professional		$446.65	$667.50	$1,289.70