Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $768.71 / $4,260.00 / $9,868.00	Facility		$768.71	$4,260.00	$9,868.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $551.34 / $632.00 / $1,161.60	Professional		$551.34	$632.00	$1,161.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,385.00 / $4,133.00 / $9,074.00	Facility		$2,385.00	$4,133.00	$9,074.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $466.03 / $609.20 / $1,494.70	Professional		$466.03	$609.20	$1,494.70
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $843.57 / $1,990.00 / $8,917.50	Facility		$843.57	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $843.57 / $843.57 / $843.57	Professional		$843.57	$843.57	$843.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $684.46 / $684.46 / $684.46	Facility		$684.46	$684.46	$684.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $607.26 / $991.37 / $2,247.63	Professional		$607.26	$991.37	$2,247.63
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $735.00 / $1,612.85	Facility		$332.00	$735.00	$1,612.85
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $659.63 / $936.63 / $1,383.46	Professional		$659.63	$936.63	$1,383.46
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $566.45 / $566.45 / $566.45	Facility		$566.45	$566.45	$566.45
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $490.87 / $721.86 / $1,273.39	Professional		$490.87	$721.86	$1,273.39
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $684.46	Facility		$555.00	$597.00	$684.46
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $620.16 / $933.37 / $2,173.73	Professional		$620.16	$933.37	$2,173.73
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 $547.52 / $791.02 / $1,907.27	Professional		$547.52	$791.02	$1,907.27
Univera Facility/Professional Facility Modifier Low / Median / High Price $721.86 / $721.86 / $3,727.34	Facility		$721.86	$721.86	$3,727.34
Univera Facility/Professional Professional Modifier Low / Median / High Price $566.45 / $789.41 / $1,525.90	Professional		$566.45	$789.41	$1,525.90