Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.68 / $3,832.00 / $9,038.00	Facility		$660.68	$3,832.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $450.85 / $557.33 / $1,032.60	Professional		$450.85	$557.33	$1,032.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $3,373.00 / $4,707.00	Facility		$1,689.00	$3,373.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $408.90 / $527.40 / $1,165.33	Professional		$408.90	$527.40	$1,165.33
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $749.50 / $1,716.00 / $6,213.00	Facility		$749.50	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $749.50 / $749.50 / $749.50	Professional		$749.50	$749.50	$749.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $615.63 / $615.63 / $615.63	Facility		$615.63	$615.63	$615.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $492.88 / $749.55 / $1,980.00	Professional		$492.88	$749.55	$1,980.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $586.74 / $1,450.42	Facility		$332.00	$586.74	$1,450.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $593.11 / $818.41 / $1,244.14	Professional		$593.11	$818.41	$1,244.14
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $509.33 / $509.33 / $509.33	Facility		$509.33	$509.33	$509.33
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $375.51 / $648.07 / $1,143.21	Professional		$375.51	$648.07	$1,143.21
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $615.63	Facility		$555.00	$597.00	$615.63
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $510.80 / $754.03 / $1,792.54	Professional		$510.80	$754.03	$1,792.54
United Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,826.00 / $4,851.00	Facility		$964.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $465.61 / $654.37 / $1,635.56	Professional		$465.61	$654.37	$1,635.56
Univera Facility/Professional Facility Modifier Low / Median / High Price $648.07 / $648.07 / $2,024.75	Facility		$648.07	$648.07	$2,024.75
Univera Facility/Professional Professional Modifier Low / Median / High Price $418.13 / $709.80 / $1,369.92	Professional		$418.13	$709.80	$1,369.92