Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $671.28 / $4,940.00 / $11,161.00	Facility		$671.28	$4,940.00	$11,161.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $482.04 / $574.24 / $975.11	Professional		$482.04	$574.24	$975.11
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 $445.77 / $582.71 / $1,318.82	Professional		$445.77	$582.71	$1,318.82
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $775.88 / $2,644.00 / $12,319.50	Facility		$775.88	$2,644.00	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $775.88 / $775.88 / $775.88	Professional		$775.88	$775.88	$775.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $632.01 / $632.01 / $632.01	Facility		$632.01	$632.01	$632.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $542.22 / $810.52 / $2,053.39	Professional		$542.22	$810.52	$2,053.39
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $844.00 / $1,489.14	Facility		$332.00	$844.00	$1,489.14
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $609.00 / $864.92 / $1,277.34	Professional		$609.00	$864.92	$1,277.34
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $522.97 / $522.97 / $522.97	Facility		$522.97	$522.97	$522.97
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.57 / $665.92 / $1,174.71	Professional		$426.57	$665.92	$1,174.71
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $632.01	Facility		$555.00	$597.00	$632.01
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $549.57 / $810.52 / $1,896.69	Professional		$549.57	$810.52	$1,896.69
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 $484.30 / $688.80 / $1,677.50	Professional		$484.30	$688.80	$1,677.50
Univera Facility/Professional Facility Modifier Low / Median / High Price $665.92 / $665.92 / $2,222.32	Facility		$665.92	$665.92	$2,222.32
Univera Facility/Professional Professional Modifier Low / Median / High Price $452.83 / $728.81 / $1,407.66	Professional		$452.83	$728.81	$1,407.66