Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $722.17 / $4,392.00 / $10,024.00	Facility		$722.17	$4,392.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $498.11 / $587.75 / $1,152.82	Professional		$498.11	$587.75	$1,152.82
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 $439.24 / $574.17 / $1,374.99	Professional		$439.24	$574.17	$1,374.99
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $795.42 / $1,990.00 / $8,917.50	Facility		$795.42	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $795.42 / $795.42 / $795.42	Professional		$795.42	$795.42	$795.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $646.51 / $646.51 / $646.51	Facility		$646.51	$646.51	$646.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $561.53 / $863.07 / $2,114.26	Professional		$561.53	$863.07	$2,114.26
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $615.73 / $1,523.88	Facility		$332.00	$615.73	$1,523.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $622.94 / $884.94 / $1,307.15	Professional		$622.94	$884.94	$1,307.15
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $534.94 / $534.94 / $534.94	Facility		$534.94	$534.94	$534.94
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $463.30 / $681.33 / $1,201.88	Professional		$463.30	$681.33	$1,201.88
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $646.51	Facility		$555.00	$597.00	$646.51
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $581.76 / $855.36 / $1,963.21	Professional		$581.76	$855.36	$1,963.21
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 $504.03 / $724.45 / $1,818.78	Professional		$504.03	$724.45	$1,818.78
Univera Facility/Professional Facility Modifier Low / Median / High Price $681.33 / $681.33 / $2,697.96	Facility		$681.33	$681.33	$2,697.96
Univera Facility/Professional Professional Modifier Low / Median / High Price $483.46 / $745.50 / $1,440.22	Professional		$483.46	$745.50	$1,440.22