Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $842.01 / $4,392.00 / $10,024.00	Facility		$842.01	$4,392.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $579.21 / $687.31 / $1,334.31	Professional		$579.21	$687.31	$1,334.31
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 $537.14 / $702.10 / $1,578.80	Professional		$537.14	$702.10	$1,578.80
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $929.61 / $1,990.00 / $8,917.50	Facility		$929.61	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $929.61 / $929.61 / $929.61	Professional		$929.61	$929.61	$929.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $753.64 / $753.64 / $753.64	Facility		$753.64	$753.64	$753.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $650.38 / $967.21 / $2,465.12	Professional		$650.38	$967.21	$2,465.12
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $978.00 / $1,776.44	Facility		$332.00	$978.00	$1,776.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $726.31 / $1,031.47 / $1,523.79	Professional		$726.31	$1,031.47	$1,523.79
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $623.71 / $623.71 / $623.71	Facility		$623.71	$623.71	$623.71
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $502.02 / $794.03 / $1,400.68	Professional		$502.02	$794.03	$1,400.68
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $753.64	Facility		$555.00	$597.00	$753.64
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $671.10 / $970.34 / $2,284.09	Professional		$671.10	$970.34	$2,284.09
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 $582.20 / $836.13 / $2,130.94	Professional		$582.20	$836.13	$2,130.94
Univera Facility/Professional Facility Modifier Low / Median / High Price $794.03 / $794.03 / $2,664.12	Facility		$794.03	$794.03	$2,664.12
Univera Facility/Professional Professional Modifier Low / Median / High Price $539.94 / $869.20 / $1,678.44	Professional		$539.94	$869.20	$1,678.44