Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $743.50 / $4,392.00 / $10,024.00	Facility		$743.50	$4,392.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $521.42 / $604.53 / $1,126.65	Professional		$521.42	$604.53	$1,126.65
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 $474.80 / $620.66 / $1,416.98	Professional		$474.80	$620.66	$1,416.98
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $818.21 / $1,990.00 / $8,917.50	Facility		$818.21	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $818.21 / $818.21 / $818.21	Professional		$818.21	$818.21	$818.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $665.48 / $665.48 / $665.48	Facility		$665.48	$665.48	$665.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $583.33 / $863.45 / $2,178.12	Professional		$583.33	$863.45	$2,178.12
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $883.00 / $1,568.18	Facility		$332.00	$883.00	$1,568.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $641.33 / $910.70 / $1,345.15	Professional		$641.33	$910.70	$1,345.15
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $550.74 / $550.74 / $550.74	Facility		$550.74	$550.74	$550.74
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $465.56 / $701.25 / $1,237.03	Professional		$465.56	$701.25	$1,237.03
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $665.48	Facility		$555.00	$597.00	$665.48
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $592.54 / $863.45 / $2,013.96	Professional		$592.54	$863.45	$2,013.96
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 $513.17 / $718.88 / $1,856.01	Professional		$513.17	$718.88	$1,856.01
Univera Facility/Professional Facility Modifier Low / Median / High Price $701.25 / $701.25 / $2,303.91	Facility		$701.25	$701.25	$2,303.91
Univera Facility/Professional Professional Modifier Low / Median / High Price $465.56 / $729.30 / $1,482.33	Professional		$465.56	$729.30	$1,482.33