Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $716.27 / $3,951.00 / $10,170.00	Facility		$716.27	$3,951.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $500.93 / $591.85 / $1,102.61	Professional		$500.93	$591.85	$1,102.61
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 $436.21 / $570.22 / $1,308.00	Professional		$436.21	$570.22	$1,308.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $799.78 / $1,716.00 / $6,213.00	Facility		$799.78	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $799.78 / $799.78 / $799.78	Professional		$799.78	$799.78	$799.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $647.62 / $647.62 / $647.62	Facility		$647.62	$647.62	$647.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $555.90 / $821.26 / $2,120.05	Professional		$555.90	$821.26	$2,120.05
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $669.00 / $1,525.84	Facility		$332.00	$669.00	$1,525.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $678.28 / $900.46 / $1,308.83	Professional		$678.28	$900.46	$1,308.83
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $535.99 / $535.99 / $535.99	Facility		$535.99	$535.99	$535.99
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $428.79 / $581.20 / $1,206.19	Professional		$428.79	$581.20	$1,206.19
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 $573.00 / $812.96 / $1,955.76	Professional		$573.00	$812.96	$1,955.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,883.00 / $3,682.00 / $7,355.00	Facility		$1,883.00	$3,682.00	$7,355.00
United Facility/Professional Professional Modifier Low / Median / High Price $496.34 / $704.99 / $1,937.91	Professional		$496.34	$704.99	$1,937.91
Univera Facility/Professional Facility Modifier Low / Median / High Price $683.77 / $683.77 / $1,512.33	Facility		$683.77	$683.77	$1,512.33
Univera Facility/Professional Professional Modifier Low / Median / High Price $428.79 / $746.96 / $1,445.38	Professional		$428.79	$746.96	$1,445.38