Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $719.90 / $4,629.00 / $10,674.00	Facility		$719.90	$4,629.00	$10,674.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $492.37 / $582.66 / $1,016.47	Professional		$492.37	$582.66	$1,016.47
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 $450.89 / $589.41 / $1,353.95	Professional		$450.89	$589.41	$1,353.95
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $786.78 / $2,390.00 / $10,957.50	Facility		$786.78	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $786.78 / $786.78 / $786.78	Professional		$786.78	$786.78	$786.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $644.64 / $644.64 / $644.64	Facility		$644.64	$644.64	$644.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $548.73 / $822.11 / $2,085.23	Professional		$548.73	$822.11	$2,085.23
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $614.45 / $1,519.31	Facility		$332.00	$614.45	$1,519.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $620.98 / $882.52 / $1,303.23	Professional		$620.98	$882.52	$1,303.23
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $533.26 / $533.26 / $533.26	Facility		$533.26	$533.26	$533.26
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $432.50 / $678.15 / $1,196.28	Professional		$432.50	$678.15	$1,196.28
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $644.64	Facility		$555.00	$597.00	$644.64
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $550.12 / $822.11 / $1,933.98	Professional		$550.12	$822.11	$1,933.98
United Facility/Professional Facility Modifier Low / Median / High Price $1,768.00 / $3,930.00 / $8,312.00	Facility		$1,768.00	$3,930.00	$8,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $489.60 / $711.69 / $1,770.73	Professional		$489.60	$711.69	$1,770.73
Univera Facility/Professional Facility Modifier Low / Median / High Price $678.15 / $678.15 / $2,112.80	Facility		$678.15	$678.15	$2,112.80
Univera Facility/Professional Professional Modifier Low / Median / High Price $461.15 / $743.15 / $1,433.51	Professional		$461.15	$743.15	$1,433.51