Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $637.97 / $3,347.00 / $8,134.00	Facility		$637.97	$3,347.00	$8,134.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $440.06 / $538.52 / $1,149.22	Professional		$440.06	$538.52	$1,149.22
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 $359.71 / $470.21 / $1,111.83	Professional		$359.71	$470.21	$1,111.83
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $715.91 / $1,716.00 / $6,213.00	Facility		$715.91	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $715.91 / $715.91 / $715.91	Professional		$715.91	$715.91	$715.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $580.85 / $580.85 / $580.85	Facility		$580.85	$580.85	$580.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $485.16 / $700.69 / $1,856.36	Professional		$485.16	$700.69	$1,856.36
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $572.00 / $1,366.20	Facility		$332.00	$572.00	$1,366.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $558.58 / $793.80 / $1,171.90	Professional		$558.58	$793.80	$1,171.90
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $479.67 / $479.67 / $479.67	Facility		$479.67	$479.67	$479.67
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $395.41 / $616.46 / $1,087.45	Professional		$395.41	$616.46	$1,087.45
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $580.85 / $597.00	Facility		$555.00	$580.85	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $500.00 / $720.09 / $1,683.61	Professional		$500.00	$720.09	$1,683.61
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 $441.10 / $628.74 / $1,453.80	Professional		$441.10	$628.74	$1,453.80
Univera Facility/Professional Facility Modifier Low / Median / High Price $616.46 / $616.46 / $2,181.90	Facility		$616.46	$616.46	$2,181.90
Univera Facility/Professional Professional Modifier Low / Median / High Price $401.72 / $668.47 / $1,303.08	Professional		$401.72	$668.47	$1,303.08