Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $504.25 / $2,952.00 / $8,134.00	Facility		$504.25	$2,952.00	$8,134.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $395.55 / $478.66 / $956.64	Professional		$395.55	$478.66	$956.64
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 $356.70 / $460.44 / $1,047.21	Professional		$356.70	$460.44	$1,047.21
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $599.27 / $1,716.00 / $6,213.00	Facility		$599.27	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $599.27 / $599.27 / $657.04	Professional		$599.27	$599.27	$657.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $730.13 / $730.13 / $730.13	Facility		$730.13	$730.13	$730.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $433.38 / $648.95 / $1,638.88	Professional		$433.38	$648.95	$1,638.88
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $332.00 / $1,162.71	Facility		$150.00	$332.00	$1,162.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $520.94 / $740.21 / $1,092.50	Professional		$520.94	$740.21	$1,092.50
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $447.35 / $447.35 / $447.35	Facility		$447.35	$447.35	$447.35
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.53 / $484.29 / $1,005.05	Professional		$363.53	$484.29	$1,005.05
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $730.13	Facility		$555.00	$597.00	$730.13
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $439.25 / $660.13 / $1,595.97	Professional		$439.25	$660.13	$1,595.97
United Facility/Professional Facility Modifier Low / Median / High Price $1,079.00 / $2,884.00 / $4,840.00	Facility		$1,079.00	$2,884.00	$4,840.00
United Facility/Professional Professional Modifier Low / Median / High Price $406.68 / $595.44 / $1,438.19	Professional		$406.68	$595.44	$1,438.19
Univera Facility/Professional Facility Modifier Low / Median / High Price $519.60 / $519.60 / $1,725.74	Facility		$519.60	$519.60	$1,725.74
Univera Facility/Professional Professional Modifier Low / Median / High Price $387.43 / $623.42 / $1,104.61	Professional		$387.43	$623.42	$1,104.61