Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $804.78 / $4,392.00 / $10,024.00	Facility		$804.78	$4,392.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $514.38 / $647.28 / $1,255.61	Professional		$514.38	$647.28	$1,255.61
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 $484.35 / $633.14 / $1,467.82	Professional		$484.35	$633.14	$1,467.82
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $875.53 / $1,990.00 / $8,917.50	Facility		$875.53	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $875.53 / $875.53 / $875.53	Professional		$875.53	$875.53	$875.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.38 / $709.38 / $709.38	Facility		$709.38	$709.38	$709.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $612.34 / $927.40 / $2,335.07	Professional		$612.34	$927.40	$2,335.07
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $215.00 / $346.00 / $1,671.68	Facility		$215.00	$346.00	$1,671.68
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $683.68 / $970.73 / $1,433.93	Professional		$683.68	$970.73	$1,433.93
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $587.10 / $587.10 / $587.10	Facility		$587.10	$587.10	$587.10
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $508.66 / $748.03 / $1,319.54	Professional		$508.66	$748.03	$1,319.54
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $709.38	Facility		$555.00	$597.00	$709.38
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $639.41 / $927.40 / $2,157.17	Professional		$639.41	$927.40	$2,157.17
United Facility/Professional Facility Modifier Low / Median / High Price $2,705.00 / $5,547.00 / $12,509.00	Facility		$2,705.00	$5,547.00	$12,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $563.70 / $795.11 / $1,984.34	Professional		$563.70	$795.11	$1,984.34
Univera Facility/Professional Facility Modifier Low / Median / High Price $748.03 / $748.03 / $3,383.21	Facility		$748.03	$748.03	$3,383.21
Univera Facility/Professional Professional Modifier Low / Median / High Price $540.64 / $818.19 / $1,581.22	Professional		$540.64	$818.19	$1,581.22