Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $694.53 / $4,545.00 / $10,577.10	Facility		$694.53	$4,545.00	$10,577.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $496.54 / $570.51 / $1,215.80	Professional		$496.54	$570.51	$1,215.80
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 $478.88 / $625.99 / $1,351.43	Professional		$478.88	$625.99	$1,351.43
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $757.39 / $1,990.00 / $8,917.50	Facility		$757.39	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $757.39 / $757.39 / $757.39	Professional		$757.39	$757.39	$757.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $614.15 / $614.15 / $614.15	Facility		$614.15	$614.15	$614.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $541.88 / $839.17 / $2,023.11	Professional		$541.88	$839.17	$2,023.11
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $900.00 / $1,446.17	Facility		$332.00	$900.00	$1,446.17
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $592.41 / $839.63 / $1,240.49	Professional		$592.41	$839.63	$1,240.49
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $508.74 / $508.74 / $508.74	Facility		$508.74	$508.74	$508.74
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $443.22 / $642.49 / $1,133.36	Professional		$443.22	$642.49	$1,133.36
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $614.15	Facility		$555.00	$597.00	$614.15
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $541.88 / $827.53 / $1,926.99	Professional		$541.88	$827.53	$1,926.99
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 $489.49 / $688.43 / $1,693.77	Professional		$489.49	$688.43	$1,693.77
Univera Facility/Professional Facility Modifier Low / Median / High Price $642.49 / $642.49 / $2,473.07	Facility		$642.49	$642.49	$2,473.07
Univera Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $668.19 / $1,358.13	Professional		$467.74	$668.19	$1,358.13