Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $731.23 / $3,841.00 / $9,038.00	Facility		$731.23	$3,841.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $503.71 / $603.74 / $1,067.71	Professional		$503.71	$603.74	$1,067.71
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 $419.57 / $548.46 / $1,351.95	Professional		$419.57	$548.46	$1,351.95
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $747.88 / $1,716.00 / $6,213.00	Facility		$747.88	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $747.88 / $747.88 / $747.88	Professional		$747.88	$747.88	$747.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $602.99 / $602.99 / $602.99	Facility		$602.99	$602.99	$602.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.79 / $933.42 / $2,047.89	Professional		$537.79	$933.42	$2,047.89
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $205.00 / $332.10 / $1,421.51	Facility		$205.00	$332.10	$1,421.51
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $631.00 / $838.54 / $1,339.37	Professional		$631.00	$838.54	$1,339.37
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $499.13 / $499.13 / $499.13	Facility		$499.13	$499.13	$499.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $399.30 / $636.35 / $1,122.54	Professional		$399.30	$636.35	$1,122.54
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $602.99	Facility		$555.00	$597.00	$602.99
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $551.80 / $860.22 / $1,991.08	Professional		$551.80	$860.22	$1,991.08
United Facility/Professional Facility Modifier Low / Median / High Price $2,341.00 / $6,700.00 / $16,782.00	Facility		$2,341.00	$6,700.00	$16,782.00
United Facility/Professional Professional Modifier Low / Median / High Price $491.92 / $713.74 / $1,822.46	Professional		$491.92	$713.74	$1,822.46
Univera Facility/Professional Facility Modifier Low / Median / High Price $636.35 / $636.35 / $4,334.01	Facility		$636.35	$636.35	$4,334.01
Univera Facility/Professional Professional Modifier Low / Median / High Price $399.30 / $661.80 / $1,345.14	Professional		$399.30	$661.80	$1,345.14