Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $839.00 / $3,841.00 / $9,038.00	Facility		$839.00	$3,841.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $585.44 / $688.42 / $1,443.79	Professional		$585.44	$688.42	$1,443.79
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 $538.00 / $695.15 / $1,513.09	Professional		$538.00	$695.15	$1,513.09
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $931.60 / $1,716.00 / $6,213.00	Facility		$931.60	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $931.60 / $931.60 / $931.60	Professional		$931.60	$931.60	$931.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $752.89 / $752.89 / $752.89	Facility		$752.89	$752.89	$752.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $651.70 / $977.30 / $2,471.41	Professional		$651.70	$977.30	$2,471.41
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $716.44 / $1,774.06	Facility		$332.00	$716.44	$1,774.06
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $725.76 / $1,030.11 / $1,521.75	Professional		$725.76	$1,030.11	$1,521.75
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $623.24 / $623.24 / $623.24	Facility		$623.24	$623.24	$623.24
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $535.20 / $794.51 / $1,401.54	Professional		$535.20	$794.51	$1,401.54
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $752.89	Facility		$555.00	$597.00	$752.89
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $676.25 / $977.41 / $2,293.07	Professional		$676.25	$977.41	$2,293.07
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 $583.97 / $825.45 / $2,028.05	Professional		$583.97	$825.45	$2,028.05
Univera Facility/Professional Facility Modifier Low / Median / High Price $794.51 / $794.51 / $2,825.70	Facility		$794.51	$794.51	$2,825.70
Univera Facility/Professional Professional Modifier Low / Median / High Price $540.27 / $868.54 / $1,679.47	Professional		$540.27	$868.54	$1,679.47