Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.49 / $3,516.00 / $9,038.00	Facility		$660.49	$3,516.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $484.35 / $560.21 / $1,025.33	Professional		$484.35	$560.21	$1,025.33
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 $434.09 / $567.45 / $1,302.23	Professional		$434.09	$567.45	$1,302.23
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $757.23 / $1,254.00 / $4,050.00	Facility		$757.23	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $757.23 / $757.23 / $757.23	Professional		$757.23	$757.23	$757.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $614.51 / $614.51 / $614.51	Facility		$614.51	$614.51	$614.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $532.05 / $805.62 / $2,019.42	Professional		$532.05	$805.62	$2,019.42
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $756.00 / $1,448.19	Facility		$332.00	$756.00	$1,448.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $643.72 / $854.31 / $1,242.23	Professional		$643.72	$854.31	$1,242.23
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $508.52 / $508.52 / $508.52	Facility		$508.52	$508.52	$508.52
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $406.82 / $550.66 / $1,142.79	Professional		$406.82	$550.66	$1,142.79
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $614.51	Facility		$555.00	$597.00	$614.51
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $553.25 / $805.21 / $1,852.06	Professional		$553.25	$805.21	$1,852.06
United Facility/Professional Facility Modifier Low / Median / High Price $1,768.00 / $3,961.00 / $8,312.00	Facility		$1,768.00	$3,961.00	$8,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $486.98 / $684.55 / $1,727.87	Professional		$486.98	$684.55	$1,727.87
Univera Facility/Professional Facility Modifier Low / Median / High Price $647.83 / $647.83 / $2,401.62	Facility		$647.83	$647.83	$2,401.62
Univera Facility/Professional Professional Modifier Low / Median / High Price $406.82 / $708.68 / $1,369.41	Professional		$406.82	$708.68	$1,369.41