Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.80 / $3,841.00 / $9,868.00	Facility		$776.80	$3,841.00	$9,868.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $535.45 / $616.38 / $1,193.49	Professional		$535.45	$616.38	$1,193.49
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 $480.49 / $628.10 / $1,433.36	Professional		$480.49	$628.10	$1,433.36
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $833.51 / $1,716.00 / $6,213.00	Facility		$833.51	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $833.51 / $833.51 / $833.51	Professional		$833.51	$833.51	$833.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $674.41 / $674.41 / $674.41	Facility		$674.41	$674.41	$674.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $584.94 / $890.65 / $2,269.42	Professional		$584.94	$890.65	$2,269.42
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $615.00 / $1,588.97	Facility		$332.00	$615.00	$1,588.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $650.04 / $922.75 / $1,362.99	Professional		$650.04	$922.75	$1,362.99
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $558.22 / $558.22 / $558.22	Facility		$558.22	$558.22	$558.22
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $484.14 / $711.97 / $1,255.92	Professional		$484.14	$711.97	$1,255.92
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $674.41	Facility		$555.00	$597.00	$674.41
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $608.69 / $888.68 / $2,161.44	Professional		$608.69	$888.68	$2,161.44
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $6,054.00 / $11,176.00	Facility		$2,264.00	$6,054.00	$11,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $544.57 / $782.60 / $1,887.29	Professional		$544.57	$782.60	$1,887.29
Univera Facility/Professional Facility Modifier Low / Median / High Price $711.97 / $711.97 / $2,696.87	Facility		$711.97	$711.97	$2,696.87
Univera Facility/Professional Professional Modifier Low / Median / High Price $500.42 / $777.93 / $1,504.98	Professional		$500.42	$777.93	$1,504.98