Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $834.02 / $4,392.00 / $10,024.00	Facility		$834.02	$4,392.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $540.58 / $628.28 / $1,219.18	Professional		$540.58	$628.28	$1,219.18
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 $521.16 / $681.27 / $1,472.15	Professional		$521.16	$681.27	$1,472.15
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $849.63 / $1,990.00 / $8,917.50	Facility		$849.63	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $849.63 / $849.63 / $849.63	Professional		$849.63	$849.63	$849.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $688.92 / $688.92 / $688.92	Facility		$688.92	$688.92	$688.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $611.15 / $975.00 / $2,266.53	Professional		$611.15	$975.00	$2,266.53
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $665.00 / $1,623.17	Facility		$332.00	$665.00	$1,623.17
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $663.98 / $942.65 / $1,392.32	Professional		$663.98	$942.65	$1,392.32
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $570.17 / $570.17 / $570.17	Facility		$570.17	$570.17	$570.17
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $494.34 / $726.97 / $1,282.38	Professional		$494.34	$726.97	$1,282.38
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $688.92	Facility		$555.00	$597.00	$688.92
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $624.41 / $939.77 / $2,139.12	Professional		$624.41	$939.77	$2,139.12
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 $548.40 / $802.82 / $1,944.96	Professional		$548.40	$802.82	$1,944.96
Univera Facility/Professional Facility Modifier Low / Median / High Price $726.97 / $726.97 / $3,795.88	Facility		$726.97	$726.97	$3,795.88
Univera Facility/Professional Professional Modifier Low / Median / High Price $570.17 / $794.61 / $1,536.69	Professional		$570.17	$794.61	$1,536.69