Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $642.44 / $3,317.00 / $7,839.00	Facility		$642.44	$3,317.00	$7,839.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $435.15 / $517.02 / $958.18	Professional		$435.15	$517.02	$958.18
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 $377.47 / $493.43 / $1,146.93	Professional		$377.47	$493.43	$1,146.93
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $695.41 / $1,254.00 / $4,050.00	Facility		$695.41	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $695.41 / $695.41 / $695.41	Professional		$695.41	$695.41	$695.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $570.63 / $570.63 / $570.63	Facility		$570.63	$570.63	$570.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $486.90 / $722.70 / $1,836.84	Professional		$486.90	$722.70	$1,836.84
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $290.00 / $464.00 / $1,343.54	Facility		$290.00	$464.00	$1,343.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $549.86 / $780.65 / $1,152.46	Professional		$549.86	$780.65	$1,152.46
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $472.18 / $472.18 / $472.18	Facility		$472.18	$472.18	$472.18
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $386.32 / $602.29 / $1,062.47	Professional		$386.32	$602.29	$1,062.47
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $570.63 / $597.00	Facility		$555.00	$570.63	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $505.25 / $722.70 / $1,690.24	Professional		$505.25	$722.70	$1,690.24
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 $437.78 / $610.54 / $1,527.38	Professional		$437.78	$610.54	$1,527.38
Univera Facility/Professional Facility Modifier Low / Median / High Price $602.29 / $602.29 / $2,077.69	Facility		$602.29	$602.29	$2,077.69
Univera Facility/Professional Professional Modifier Low / Median / High Price $409.56 / $658.03 / $1,273.17	Professional		$409.56	$658.03	$1,273.17