Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $726.13 / $3,841.00 / $9,038.00	Facility		$726.13	$3,841.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $483.57 / $554.85 / $1,051.25	Professional		$483.57	$554.85	$1,051.25
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 $406.45 / $531.30 / $1,278.66	Professional		$406.45	$531.30	$1,278.66
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $738.60 / $1,716.00 / $6,213.00	Facility		$738.60	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $738.60 / $738.60 / $738.60	Professional		$738.60	$738.60	$738.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $600.38 / $600.38 / $600.38	Facility		$600.38	$600.38	$600.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $533.42 / $847.82 / $1,967.46	Professional		$533.42	$847.82	$1,967.46
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $840.00 / $1,415.21	Facility		$332.00	$840.00	$1,415.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $578.48 / $821.84 / $1,213.93	Professional		$578.48	$821.84	$1,213.93
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $496.76 / $496.76 / $496.76	Facility		$496.76	$496.76	$496.76
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $430.50 / $542.41 / $1,116.79	Professional		$430.50	$542.41	$1,116.79
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $600.38	Facility		$555.00	$597.00	$600.38
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $543.70 / $814.26 / $1,859.03	Professional		$543.70	$814.26	$1,859.03
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $6,054.00 / $11,176.00	Facility		$2,264.00	$6,054.00	$11,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $475.10 / $701.87 / $1,667.97	Professional		$475.10	$701.87	$1,667.97
Univera Facility/Professional Facility Modifier Low / Median / High Price $633.09 / $633.09 / $3,302.77	Facility		$633.09	$633.09	$3,302.77
Univera Facility/Professional Professional Modifier Low / Median / High Price $496.76 / $692.28 / $1,338.25	Professional		$496.76	$692.28	$1,338.25