Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $587.02 / $4,940.00 / $11,161.00	Facility		$587.02	$4,940.00	$11,161.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $413.55 / $487.70 / $895.07	Professional		$413.55	$487.70	$895.07
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 $381.15 / $494.57 / $1,121.08	Professional		$381.15	$494.57	$1,121.08
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $660.21 / $2,644.00 / $12,319.50	Facility		$660.21	$2,644.00	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $660.21 / $660.21 / $660.21	Professional		$660.21	$660.21	$660.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $536.77 / $536.77 / $536.77	Facility		$536.77	$536.77	$536.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $460.32 / $687.42 / $1,747.14	Professional		$460.32	$687.42	$1,747.14
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $690.00 / $1,265.20	Facility		$332.00	$690.00	$1,265.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $517.22 / $734.72 / $1,085.26	Professional		$517.22	$734.72	$1,085.26
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $444.15 / $444.15 / $444.15	Facility		$444.15	$444.15	$444.15
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $360.34 / $565.71 / $997.93	Professional		$360.34	$565.71	$997.93
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $536.77 / $555.00 / $597.00	Facility		$536.77	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $478.34 / $688.32 / $1,619.38	Professional		$478.34	$688.32	$1,619.38
United Facility/Professional Facility Modifier Low / Median / High Price $2,062.00 / $5,336.00 / $13,287.00	Facility		$2,062.00	$5,336.00	$13,287.00
United Facility/Professional Professional Modifier Low / Median / High Price $412.99 / $597.71 / $1,462.05	Professional		$412.99	$597.71	$1,462.05
Univera Facility/Professional Facility Modifier Low / Median / High Price $565.71 / $565.71 / $1,859.65	Facility		$565.71	$565.71	$1,859.65
Univera Facility/Professional Professional Modifier Low / Median / High Price $384.69 / $618.96 / $1,195.83	Professional		$384.69	$618.96	$1,195.83