Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $808.38 / $3,841.00 / $9,038.00	Facility		$808.38	$3,841.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $545.37 / $658.22 / $1,228.19	Professional		$545.37	$658.22	$1,228.19
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 $496.59 / $633.16 / $1,501.81	Professional		$496.59	$633.16	$1,501.81
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $891.97 / $1,716.00 / $6,213.00	Facility		$891.97	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $891.97 / $891.97 / $891.97	Professional		$891.97	$891.97	$891.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $723.51 / $723.51 / $723.51	Facility		$723.51	$723.51	$723.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $600.79 / $920.69 / $2,204.30	Professional		$600.79	$920.69	$2,204.30
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $688.50 / $1,705.19	Facility		$332.00	$688.50	$1,705.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $696.59 / $990.14 / $1,462.67	Professional		$696.59	$990.14	$1,462.67
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $598.79 / $598.79 / $598.79	Facility		$598.79	$598.79	$598.79
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $385.69 / $762.28 / $1,344.69	Professional		$385.69	$762.28	$1,344.69
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $723.51	Facility		$555.00	$597.00	$723.51
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $634.35 / $920.69 / $2,164.75	Professional		$634.35	$920.69	$2,164.75
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 $529.39 / $778.51 / $2,027.94	Professional		$529.39	$778.51	$2,027.94
Univera Facility/Professional Facility Modifier Low / Median / High Price $762.28 / $762.28 / $2,080.29	Facility		$762.28	$762.28	$2,080.29
Univera Facility/Professional Professional Modifier Low / Median / High Price $440.60 / $834.48 / $1,611.34	Professional		$440.60	$834.48	$1,611.34