Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $790.47 / $4,452.00 / $10,686.00	Facility		$790.47	$4,452.00	$10,686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $541.63 / $627.27 / $1,168.83	Professional		$541.63	$627.27	$1,168.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,749.00 / $9,877.00 / $16,490.00	Facility		$4,749.00	$9,877.00	$16,490.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $468.76 / $612.77 / $1,429.34	Professional		$468.76	$612.77	$1,429.34
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $848.26 / $1,990.00 / $8,917.50	Facility		$848.26	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $848.26 / $848.26 / $848.26	Professional		$848.26	$848.26	$848.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $686.69 / $686.69 / $686.69	Facility		$686.69	$686.69	$686.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $598.89 / $904.85 / $2,263.14	Professional		$598.89	$904.85	$2,263.14
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $840.00 / $1,617.75	Facility		$332.00	$840.00	$1,617.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $661.89 / $939.49 / $1,387.67	Professional		$661.89	$939.49	$1,387.67
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $568.39 / $568.39 / $568.39	Facility		$568.39	$568.39	$568.39
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $492.32 / $725.05 / $1,279.00	Professional		$492.32	$725.05	$1,279.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $36,596.00	Facility		$555.00	$597.00	$36,596.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $619.40 / $914.31 / $2,084.77	Professional		$619.40	$914.31	$2,084.77
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,248.00 / $14,064.00	Facility		$2,264.00	$5,248.00	$14,064.00
United Facility/Professional Professional Modifier Low / Median / High Price $530.91 / $769.35 / $1,944.98	Professional		$530.91	$769.35	$1,944.98
Univera Facility/Professional Facility Modifier Low / Median / High Price $725.05 / $725.05 / $2,618.39	Facility		$725.05	$725.05	$2,618.39
Univera Facility/Professional Professional Modifier Low / Median / High Price $492.32 / $792.10 / $1,532.64	Professional		$492.32	$792.10	$1,532.64