Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $579.33 / $3,951.00 / $9,267.00	Facility		$579.33	$3,951.00	$9,267.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $388.08 / $468.96 / $1,165.07	Professional		$388.08	$468.96	$1,165.07
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 $347.13 / $453.77 / $1,064.58	Professional		$347.13	$453.77	$1,064.58
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $633.62 / $1,716.00 / $6,213.00	Facility		$633.62	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $633.62 / $633.62 / $633.62	Professional		$633.62	$633.62	$633.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $517.79 / $517.79 / $517.79	Facility		$517.79	$517.79	$517.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $444.07 / $666.84 / $1,662.07	Professional		$444.07	$666.84	$1,662.07
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $539.85 / $1,214.66	Facility		$332.00	$539.85	$1,214.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $499.72 / $706.48 / $1,041.91	Professional		$499.72	$706.48	$1,041.91
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $429.13 / $429.13 / $429.13	Facility		$429.13	$429.13	$429.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $368.71 / $579.32 / $963.70	Professional		$368.71	$579.32	$963.70
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $517.79 / $555.00 / $597.00	Facility		$517.79	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $461.23 / $667.19 / $1,556.47	Professional		$461.23	$667.19	$1,556.47
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 $395.05 / $567.87 / $1,308.97	Professional		$395.05	$567.87	$1,308.97
Univera Facility/Professional Facility Modifier Low / Median / High Price $546.30 / $546.30 / $1,987.40	Facility		$546.30	$546.30	$1,987.40
Univera Facility/Professional Professional Modifier Low / Median / High Price $371.49 / $568.16 / $1,154.80	Professional		$371.49	$568.16	$1,154.80