Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $626.12 / $4,308.00 / $10,024.00	Facility		$626.12	$4,308.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $408.30 / $492.44 / $852.31	Professional		$408.30	$492.44	$852.31
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 $376.31 / $491.92 / $1,137.69	Professional		$376.31	$491.92	$1,137.69
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $664.39 / $1,990.00 / $8,917.50	Facility		$664.39	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $664.39 / $664.39 / $664.39	Professional		$664.39	$664.39	$664.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $541.62 / $541.62 / $541.62	Facility		$541.62	$541.62	$541.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $464.51 / $699.98 / $1,771.35	Professional		$464.51	$699.98	$1,771.35
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $570.00 / $1,276.20	Facility		$332.00	$570.00	$1,276.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $521.82 / $741.30 / $1,094.70	Professional		$521.82	$741.30	$1,094.70
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $448.10 / $448.10 / $448.10	Facility		$448.10	$448.10	$448.10
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $383.39 / $571.10 / $1,007.43	Professional		$383.39	$571.10	$1,007.43
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $541.62 / $555.00 / $597.00	Facility		$541.62	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $482.97 / $708.16 / $1,633.17	Professional		$482.97	$708.16	$1,633.17
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 $413.32 / $580.75 / $1,431.00	Professional		$413.32	$580.75	$1,431.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $571.10 / $571.10 / $2,042.96	Facility		$571.10	$571.10	$2,042.96
Univera Facility/Professional Professional Modifier Low / Median / High Price $388.35 / $624.47 / $1,207.21	Professional		$388.35	$624.47	$1,207.21