Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $738.34 / $3,996.00 / $9,868.00	Facility		$738.34	$3,996.00	$9,868.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $518.10 / $603.76 / $1,149.96	Professional		$518.10	$603.76	$1,149.96
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 $437.87 / $572.39 / $1,379.94	Professional		$437.87	$572.39	$1,379.94
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $794.07 / $1,990.00 / $8,917.50	Facility		$794.07	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $794.07 / $794.07 / $794.07	Professional		$794.07	$794.07	$794.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $643.16 / $643.16 / $643.16	Facility		$643.16	$643.16	$643.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $570.62 / $913.14 / $2,115.42	Professional		$570.62	$913.14	$2,115.42
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $612.30 / $1,515.26	Facility		$332.00	$612.30	$1,515.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $619.89 / $880.00 / $1,299.76	Professional		$619.89	$880.00	$1,299.76
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $532.32 / $532.32 / $532.32	Facility		$532.32	$532.32	$532.32
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $461.70 / $678.96 / $1,197.71	Professional		$461.70	$678.96	$1,197.71
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $643.16	Facility		$555.00	$597.00	$643.16
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $580.67 / $877.56 / $2,005.21	Professional		$580.67	$877.56	$2,005.21
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 $511.63 / $764.35 / $1,793.60	Professional		$511.63	$764.35	$1,793.60
Univera Facility/Professional Facility Modifier Low / Median / High Price $678.96 / $678.96 / $3,643.09	Facility		$678.96	$678.96	$3,643.09
Univera Facility/Professional Professional Modifier Low / Median / High Price $532.32 / $741.85 / $1,435.22	Professional		$532.32	$741.85	$1,435.22