Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $799.16 / $4,392.00 / $10,024.00	Facility		$799.16	$4,392.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $505.40 / $680.91 / $1,255.41	Professional		$505.40	$680.91	$1,255.41
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 $500.42 / $634.52 / $1,381.21	Professional		$500.42	$634.52	$1,381.21
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $911.81 / $1,990.00 / $8,917.50	Facility		$911.81	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $911.81 / $911.81 / $911.81	Professional		$911.81	$911.81	$911.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $735.78 / $735.78 / $735.78	Facility		$735.78	$735.78	$735.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $626.69 / $886.19 / $2,407.02	Professional		$626.69	$886.19	$2,407.02
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $560.00 / $1,733.06	Facility		$332.00	$560.00	$1,733.06
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $709.00 / $970.52 / $1,486.58	Professional		$709.00	$970.52	$1,486.58
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $608.85 / $608.85 / $608.85	Facility		$608.85	$608.85	$608.85
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $507.91 / $780.26 / $1,376.40	Professional		$507.91	$780.26	$1,376.40
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $735.78	Facility		$555.00	$597.00	$735.78
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $611.46 / $886.19 / $2,187.64	Professional		$611.46	$886.19	$2,187.64
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 $562.14 / $781.55 / $1,960.44	Professional		$562.14	$781.55	$1,960.44
Univera Facility/Professional Facility Modifier Low / Median / High Price $780.26 / $780.26 / $2,306.75	Facility		$780.26	$780.26	$2,306.75
Univera Facility/Professional Professional Modifier Low / Median / High Price $507.91 / $848.50 / $1,649.35	Professional		$507.91	$848.50	$1,649.35