Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $749.96 / $4,441.00 / $10,194.49	Facility		$749.96	$4,441.00	$10,194.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $543.70 / $641.64 / $1,245.39	Professional		$543.70	$641.64	$1,245.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,749.00 / $9,877.00 / $16,490.00	Facility		$4,749.00	$9,877.00	$16,490.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $499.85 / $646.07 / $1,470.27	Professional		$499.85	$646.07	$1,470.27
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $867.83 / $1,990.00 / $8,917.50	Facility		$867.83	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $867.83 / $867.83 / $867.83	Professional		$867.83	$867.83	$867.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $703.80 / $703.80 / $703.80	Facility		$703.80	$703.80	$703.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $606.85 / $901.44 / $2,299.55	Professional		$606.85	$901.44	$2,299.55
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $908.00 / $1,658.07	Facility		$332.00	$908.00	$1,658.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $678.34 / $962.96 / $1,422.26	Professional		$678.34	$962.96	$1,422.26
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $582.52 / $582.52 / $582.52	Facility		$582.52	$582.52	$582.52
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $464.54 / $742.43 / $1,309.67	Professional		$464.54	$742.43	$1,309.67
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $703.80	Facility		$555.00	$597.00	$703.80
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $612.00 / $904.88 / $2,131.62	Professional		$612.00	$904.88	$2,131.62
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 $542.92 / $767.98 / $1,879.70	Professional		$542.92	$767.98	$1,879.70
Univera Facility/Professional Facility Modifier Low / Median / High Price $742.43 / $742.43 / $2,443.38	Facility		$742.43	$742.43	$2,443.38
Univera Facility/Professional Professional Modifier Low / Median / High Price $504.86 / $811.79 / $1,569.39	Professional		$504.86	$811.79	$1,569.39