Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $873.51 / $4,629.00 / $10,674.00	Facility		$873.51	$4,629.00	$10,674.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $590.49 / $694.32 / $1,342.01	Professional		$590.49	$694.32	$1,342.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,749.00 / $9,877.00 / $16,490.00	Facility		$4,749.00	$9,877.00	$16,490.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $542.27 / $708.85 / $1,592.86	Professional		$542.27	$708.85	$1,592.86
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $938.88 / $938.88 / $16,534.50	Facility		$938.88	$938.88	$16,534.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $938.88 / $938.88 / $938.88	Professional		$938.88	$938.88	$938.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.48 / $758.48 / $758.48	Facility		$758.48	$758.48	$758.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $664.47 / $999.33 / $2,508.38	Professional		$664.47	$999.33	$2,508.38
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $721.67 / $1,786.70	Facility		$332.00	$721.67	$1,786.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $731.24 / $1,037.53 / $1,532.59	Professional		$731.24	$1,037.53	$1,532.59
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $627.94 / $627.94 / $627.94	Facility		$627.94	$627.94	$627.94
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $544.59 / $800.86 / $1,412.74	Professional		$544.59	$800.86	$1,412.74
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $758.48	Facility		$555.00	$597.00	$758.48
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $689.24 / $997.82 / $2,314.98	Professional		$689.24	$997.82	$2,314.98
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,248.00 / $11,200.00	Facility		$2,264.00	$5,248.00	$11,200.00
United Facility/Professional Professional Modifier Low / Median / High Price $589.10 / $850.93 / $2,131.56	Professional		$589.10	$850.93	$2,131.56
Univera Facility/Professional Facility Modifier Low / Median / High Price $800.86 / $800.86 / $3,015.70	Facility		$800.86	$800.86	$3,015.70
Univera Facility/Professional Professional Modifier Low / Median / High Price $556.10 / $875.09 / $1,692.89	Professional		$556.10	$875.09	$1,692.89