Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $608.77 / $3,016.00 / $8,134.00	Facility		$608.77	$3,016.00	$8,134.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $450.80 / $522.09 / $1,026.00	Professional		$450.80	$522.09	$1,026.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $3,373.00 / $4,707.00	Facility		$1,689.00	$3,373.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $412.75 / $539.54 / $1,233.33	Professional		$412.75	$539.54	$1,233.33
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $705.01 / $1,716.00 / $6,213.00	Facility		$705.01	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $705.01 / $705.01 / $719.33	Professional		$705.01	$705.01	$719.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $853.34 / $853.34 / $853.34	Facility		$853.34	$853.34	$853.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $502.85 / $760.13 / $1,899.76	Professional		$502.85	$760.13	$1,899.76
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $295.00 / $544.97 / $1,348.52	Facility		$295.00	$544.97	$1,348.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $558.97 / $793.37 / $1,171.70	Professional		$558.97	$793.37	$1,171.70
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $480.01 / $480.01 / $480.01	Facility		$480.01	$480.01	$480.01
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.92 / $521.15 / $1,081.56	Professional		$416.92	$521.15	$1,081.56
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $853.34	Facility		$555.00	$597.00	$853.34
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $516.04 / $763.40 / $1,825.73	Professional		$516.04	$763.40	$1,825.73
United Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,826.00 / $4,851.00	Facility		$964.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $451.23 / $673.88 / $1,640.43	Professional		$451.23	$673.88	$1,640.43
Univera Facility/Professional Facility Modifier Low / Median / High Price $604.04 / $604.04 / $2,154.36	Facility		$604.04	$604.04	$2,154.36
Univera Facility/Professional Professional Modifier Low / Median / High Price $422.30 / $668.94 / $1,276.84	Professional		$422.30	$668.94	$1,276.84