Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $798.77 / $4,392.00 / $10,024.00	Facility		$798.77	$4,392.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $555.16 / $644.74 / $1,350.67	Professional		$555.16	$644.74	$1,350.67
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 $480.51 / $628.13 / $1,526.50	Professional		$480.51	$628.13	$1,526.50
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $866.88 / $1,990.00 / $8,917.50	Facility		$866.88	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $866.88 / $866.88 / $866.88	Professional		$866.88	$866.88	$866.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $701.19 / $701.19 / $701.19	Facility		$701.19	$701.19	$701.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $624.26 / $950.06 / $2,355.87	Professional		$624.26	$950.06	$2,355.87
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $332.00 / $1,664.06	Facility		$50.00	$332.00	$1,664.06
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $674.27 / $964.06 / $1,427.39	Professional		$674.27	$964.06	$1,427.39
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $579.02 / $579.02 / $579.02	Facility		$579.02	$579.02	$579.02
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $504.58 / $627.25 / $1,301.75	Professional		$504.58	$627.25	$1,301.75
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $701.19	Facility		$555.00	$597.00	$701.19
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $638.87 / $945.59 / $2,164.53	Professional		$638.87	$945.59	$2,164.53
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 $547.46 / $807.05 / $2,010.90	Professional		$547.46	$807.05	$2,010.90
Univera Facility/Professional Facility Modifier Low / Median / High Price $737.94 / $737.94 / $1,875.23	Facility		$737.94	$737.94	$1,875.23
Univera Facility/Professional Professional Modifier Low / Median / High Price $532.65 / $806.93 / $1,559.89	Professional		$532.65	$806.93	$1,559.89