Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $746.29 / $4,051.00 / $10,170.00	Facility		$746.29	$4,051.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $541.41 / $639.14 / $1,389.18	Professional		$541.41	$639.14	$1,389.18
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 $477.51 / $605.47 / $1,353.30	Professional		$477.51	$605.47	$1,353.30
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $864.06 / $1,990.00 / $8,917.50	Facility		$864.06	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $864.06 / $864.06 / $864.06	Professional		$864.06	$864.06	$864.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $700.82 / $700.82 / $700.82	Facility		$700.82	$700.82	$700.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $604.91 / $899.97 / $2,306.76	Professional		$604.91	$899.97	$2,306.76
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $750.00 / $1,651.93	Facility		$332.00	$750.00	$1,651.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $675.35 / $959.22 / $1,416.99	Professional		$675.35	$959.22	$1,416.99
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $579.95 / $579.95 / $579.95	Facility		$579.95	$579.95	$579.95
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $470.21 / $627.75 / $1,302.78	Professional		$470.21	$627.75	$1,302.78
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $700.82	Facility		$555.00	$597.00	$700.82
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $630.57 / $900.81 / $2,121.86	Professional		$630.57	$900.81	$2,121.86
United Facility/Professional Facility Modifier Low / Median / High Price $2,705.00 / $6,344.00 / $14,287.46	Facility		$2,705.00	$6,344.00	$14,287.46
United Facility/Professional Professional Modifier Low / Median / High Price $546.88 / $785.05 / $1,870.88	Professional		$546.88	$785.05	$1,870.88
Univera Facility/Professional Facility Modifier Low / Median / High Price $738.53 / $738.53 / $2,601.27	Facility		$738.53	$738.53	$2,601.27
Univera Facility/Professional Professional Modifier Low / Median / High Price $470.21 / $808.22 / $1,561.13	Professional		$470.21	$808.22	$1,561.13