Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.00 / $4,308.00 / $10,024.00	Facility		$645.00	$4,308.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $455.40 / $522.65 / $1,110.41	Professional		$455.40	$522.65	$1,110.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,749.00 / $9,877.00 / $16,490.00	Facility		$4,749.00	$9,877.00	$16,490.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $387.58 / $506.65 / $1,188.92	Professional		$387.58	$506.65	$1,188.92
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $706.32 / $1,990.00 / $8,917.50	Facility		$706.32	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $706.32 / $706.32 / $706.32	Professional		$706.32	$706.32	$706.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $573.98 / $573.98 / $573.98	Facility		$573.98	$573.98	$573.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $496.37 / $759.61 / $1,881.91	Professional		$496.37	$759.61	$1,881.91
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $546.74 / $1,352.45	Facility		$332.00	$546.74	$1,352.45
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $553.07 / $785.52 / $1,160.09	Professional		$553.07	$785.52	$1,160.09
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $474.94 / $474.94 / $474.94	Facility		$474.94	$474.94	$474.94
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $411.41 / $514.27 / $1,067.27	Professional		$411.41	$514.27	$1,067.27
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $573.98 / $597.00	Facility		$555.00	$573.98	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $516.08 / $759.02 / $1,730.44	Professional		$516.08	$759.02	$1,730.44
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $6,136.00 / $15,063.00	Facility		$2,264.00	$6,136.00	$15,063.00
United Facility/Professional Professional Modifier Low / Median / High Price $445.90 / $662.99 / $1,561.15	Professional		$445.90	$662.99	$1,561.15
Univera Facility/Professional Facility Modifier Low / Median / High Price $605.02 / $605.02 / $2,370.48	Facility		$605.02	$605.02	$2,370.48
Univera Facility/Professional Professional Modifier Low / Median / High Price $429.44 / $629.22 / $1,278.91	Professional		$429.44	$629.22	$1,278.91