Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $832.14 / $3,516.00 / $9,038.00	Facility		$832.14	$3,516.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $599.25 / $720.65 / $1,320.79	Professional		$599.25	$720.65	$1,320.79
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 $505.83 / $661.22 / $1,550.66	Professional		$505.83	$661.22	$1,550.66
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $960.04 / $1,254.00 / $4,050.00	Facility		$960.04	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $960.04 / $960.04 / $960.04	Professional		$960.04	$960.04	$960.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $767.64 / $767.64 / $767.64	Facility		$767.64	$767.64	$767.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $665.79 / $988.88 / $2,486.65	Professional		$665.79	$988.88	$2,486.65
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $260.00 / $416.00 / $1,794.22	Facility		$260.00	$416.00	$1,794.22
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $733.39 / $1,043.02 / $1,539.04	Professional		$733.39	$1,043.02	$1,539.04
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $629.79 / $629.79 / $629.79	Facility		$629.79	$629.79	$629.79
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $552.80 / $692.31 / $1,436.76	Professional		$552.80	$692.31	$1,436.76
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $767.64	Facility		$555.00	$597.00	$767.64
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $671.61 / $979.58 / $2,236.44	Professional		$671.61	$979.58	$2,236.44
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 $581.04 / $855.87 / $2,034.31	Professional		$581.04	$855.87	$2,034.31
Univera Facility/Professional Facility Modifier Low / Median / High Price $814.48 / $814.48 / $2,993.90	Facility		$814.48	$814.48	$2,993.90
Univera Facility/Professional Professional Modifier Low / Median / High Price $557.34 / $877.67 / $1,721.68	Professional		$557.34	$877.67	$1,721.68