Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $763.36 / $4,392.00 / $10,024.00	Facility		$763.36	$4,392.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $541.23 / $627.91 / $1,169.41	Professional		$541.23	$627.91	$1,169.41
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 $488.46 / $638.52 / $1,460.11	Professional		$488.46	$638.52	$1,460.11
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $848.76 / $1,990.00 / $8,917.50	Facility		$848.76	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $848.76 / $848.76 / $848.76	Professional		$848.76	$848.76	$848.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $687.42 / $687.42 / $687.42	Facility		$687.42	$687.42	$687.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $594.45 / $899.26 / $2,249.37	Professional		$594.45	$899.26	$2,249.37
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $560.00 / $1,619.93	Facility		$332.00	$560.00	$1,619.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $662.54 / $940.68 / $1,389.54	Professional		$662.54	$940.68	$1,389.54
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $568.95 / $568.95 / $568.95	Facility		$568.95	$568.95	$568.95
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $480.94 / $725.07 / $1,279.04	Professional		$480.94	$725.07	$1,279.04
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $687.42	Facility		$555.00	$597.00	$687.42
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $611.97 / $898.12 / $2,090.40	Professional		$611.97	$898.12	$2,090.40
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 $530.92 / $766.90 / $1,837.74	Professional		$530.92	$766.90	$1,837.74
Univera Facility/Professional Facility Modifier Low / Median / High Price $725.07 / $725.07 / $2,306.75	Facility		$725.07	$725.07	$2,306.75
Univera Facility/Professional Professional Modifier Low / Median / High Price $480.94 / $792.88 / $1,532.68	Professional		$480.94	$792.88	$1,532.68