Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $694.28 / $3,951.00 / $10,170.00	Facility		$694.28	$3,951.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $463.05 / $547.97 / $1,064.41	Professional		$463.05	$547.97	$1,064.41
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 $404.26 / $528.45 / $1,221.85	Professional		$404.26	$528.45	$1,221.85
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $739.50 / $1,716.00 / $6,213.00	Facility		$739.50	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $739.50 / $739.50 / $739.50	Professional		$739.50	$739.50	$739.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $601.13 / $601.13 / $601.13	Facility		$601.13	$601.13	$601.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $517.15 / $763.75 / $1,957.59	Professional		$517.15	$763.75	$1,957.59
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $649.00 / $1,417.12	Facility		$332.00	$649.00	$1,417.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $579.14 / $822.95 / $1,215.57	Professional		$579.14	$822.95	$1,215.57
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $497.33 / $497.33 / $497.33	Facility		$497.33	$497.33	$497.33
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $415.97 / $633.91 / $1,118.24	Professional		$415.97	$633.91	$1,118.24
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 $535.35 / $757.11 / $1,802.79	Professional		$535.35	$757.11	$1,802.79
United Facility/Professional Facility Modifier Low / Median / High Price $1,768.00 / $3,961.00 / $8,312.00	Facility		$1,768.00	$3,961.00	$8,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $449.85 / $639.21 / $1,517.83	Professional		$449.85	$639.21	$1,517.83
Univera Facility/Professional Facility Modifier Low / Median / High Price $633.91 / $633.91 / $1,426.78	Facility		$633.91	$633.91	$1,426.78
Univera Facility/Professional Professional Modifier Low / Median / High Price $431.06 / $693.08 / $1,339.99	Professional		$431.06	$693.08	$1,339.99