Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $848.50 / $3,516.00 / $9,038.00	Facility		$848.50	$3,516.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $626.53 / $720.76 / $1,342.94	Professional		$626.53	$720.76	$1,342.94
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 $561.62 / $734.15 / $1,677.71	Professional		$561.62	$734.15	$1,677.71
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $974.61 / $1,254.00 / $4,050.00	Facility		$974.61	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $974.61 / $974.61 / $974.61	Professional		$974.61	$974.61	$974.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $792.33 / $792.33 / $792.33	Facility		$792.33	$792.33	$792.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $681.49 / $1,034.32 / $2,598.77	Professional		$681.49	$1,034.32	$2,598.77
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $754.28 / $1,868.45	Facility		$332.00	$754.28	$1,868.45
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $829.71 / $1,101.44 / $1,602.71	Professional		$829.71	$1,101.44	$1,602.71
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $655.62 / $655.62 / $655.62	Facility		$655.62	$655.62	$655.62
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.50 / $834.07 / $1,471.32	Professional		$524.50	$834.07	$1,471.32
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $792.33	Facility		$555.00	$597.00	$792.33
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $705.86 / $1,034.32 / $2,397.91	Professional		$705.86	$1,034.32	$2,397.91
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 $634.24 / $882.23 / $2,209.31	Professional		$634.24	$882.23	$2,209.31
Univera Facility/Professional Facility Modifier Low / Median / High Price $834.07 / $834.07 / $3,065.17	Facility		$834.07	$834.07	$3,065.17
Univera Facility/Professional Professional Modifier Low / Median / High Price $567.16 / $867.44 / $1,763.09	Professional		$567.16	$867.44	$1,763.09