Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $705.60 / $4,043.00 / $9,661.00	Facility		$705.60	$4,043.00	$9,661.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.17 / $603.54 / $1,357.95	Professional		$512.17	$603.54	$1,357.95
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 $452.64 / $591.69 / $1,386.53	Professional		$452.64	$591.69	$1,386.53
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $816.49 / $1,990.00 / $8,917.50	Facility		$816.49	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $816.49 / $816.49 / $816.49	Professional		$816.49	$816.49	$816.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $665.11 / $665.11 / $665.11	Facility		$665.11	$665.11	$665.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $579.01 / $867.90 / $2,151.85	Professional		$579.01	$867.90	$2,151.85
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $480.00 / $1,555.74	Facility		$300.00	$480.00	$1,555.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $642.67 / $905.53 / $1,334.48	Professional		$642.67	$905.53	$1,334.48
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $551.89 / $551.89 / $551.89	Facility		$551.89	$551.89	$551.89
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $465.49 / $595.79 / $1,236.47	Professional		$465.49	$595.79	$1,236.47
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $665.11	Facility		$555.00	$597.00	$665.11
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $595.46 / $865.39 / $2,012.28	Professional		$595.46	$865.39	$2,012.28
United Facility/Professional Facility Modifier Low / Median / High Price $2,031.00 / $4,840.00 / $9,416.00	Facility		$2,031.00	$4,840.00	$9,416.00
United Facility/Professional Professional Modifier Low / Median / High Price $511.17 / $740.09 / $1,711.32	Professional		$511.17	$740.09	$1,711.32
Univera Facility/Professional Facility Modifier Low / Median / High Price $700.94 / $700.94 / $2,489.38	Facility		$700.94	$700.94	$2,489.38
Univera Facility/Professional Professional Modifier Low / Median / High Price $465.49 / $769.11 / $1,481.67	Professional		$465.49	$769.11	$1,481.67