Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $743.24 / $4,392.00 / $10,024.00	Facility		$743.24	$4,392.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $515.78 / $607.62 / $1,134.29	Professional		$515.78	$607.62	$1,134.29
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 $477.65 / $624.38 / $1,403.68	Professional		$477.65	$624.38	$1,403.68
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $822.91 / $1,990.00 / $8,917.50	Facility		$822.91	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $822.91 / $822.91 / $822.91	Professional		$822.91	$822.91	$822.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $665.11 / $665.11 / $665.11	Facility		$665.11	$665.11	$665.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $578.34 / $871.93 / $2,184.21	Professional		$578.34	$871.93	$2,184.21
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $904.00 / $1,567.31	Facility		$332.00	$904.00	$1,567.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $641.11 / $910.05 / $1,344.40	Professional		$641.11	$910.05	$1,344.40
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $550.54 / $550.54 / $550.54	Facility		$550.54	$550.54	$550.54
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $460.53 / $701.71 / $1,237.83	Professional		$460.53	$701.71	$1,237.83
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $665.11	Facility		$555.00	$597.00	$665.11
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $594.05 / $871.93 / $2,032.05	Professional		$594.05	$871.93	$2,032.05
United Facility/Professional Facility Modifier Low / Median / High Price $2,031.00 / $4,840.00 / $9,416.00	Facility		$2,031.00	$4,840.00	$9,416.00
United Facility/Professional Professional Modifier Low / Median / High Price $516.96 / $755.13 / $1,895.80	Professional		$516.96	$755.13	$1,895.80
Univera Facility/Professional Facility Modifier Low / Median / High Price $701.71 / $701.71 / $2,411.00	Facility		$701.71	$701.71	$2,411.00
Univera Facility/Professional Professional Modifier Low / Median / High Price $477.16 / $767.25 / $1,483.30	Professional		$477.16	$767.25	$1,483.30