Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $813.04 / $4,392.00 / $10,024.00	Facility		$813.04	$4,392.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $567.84 / $651.14 / $1,201.39	Professional		$567.84	$651.14	$1,201.39
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 $501.84 / $656.01 / $1,462.63	Professional		$501.84	$656.01	$1,462.63
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $871.67 / $1,990.00 / $8,917.50	Facility		$871.67	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $871.67 / $871.67 / $871.67	Professional		$871.67	$871.67	$871.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $704.92 / $704.92 / $704.92	Facility		$704.92	$704.92	$704.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $624.64 / $981.20 / $2,322.44	Professional		$624.64	$981.20	$2,322.44
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $544.00 / $1,660.91	Facility		$332.00	$544.00	$1,660.91
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $679.45 / $964.49 / $1,424.69	Professional		$679.45	$964.49	$1,424.69
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $583.47 / $583.47 / $583.47	Facility		$583.47	$583.47	$583.47
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $505.96 / $744.06 / $1,312.53	Professional		$505.96	$744.06	$1,312.53
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $704.92	Facility		$555.00	$597.00	$704.92
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $639.15 / $955.98 / $2,143.80	Professional		$639.15	$955.98	$2,143.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,031.00 / $4,840.00 / $9,416.00	Facility		$2,031.00	$4,840.00	$9,416.00
United Facility/Professional Professional Modifier Low / Median / High Price $545.64 / $797.67 / $2,000.04	Professional		$545.64	$797.67	$2,000.04
Univera Facility/Professional Facility Modifier Low / Median / High Price $744.06 / $744.06 / $2,306.75	Facility		$744.06	$744.06	$2,306.75
Univera Facility/Professional Professional Modifier Low / Median / High Price $583.47 / $813.12 / $1,572.81	Professional		$583.47	$813.12	$1,572.81