Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $468.21 / $3,414.00 / $10,024.00	Facility		$468.21	$3,414.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $351.54 / $527.46 / $1,089.41	Professional		$351.54	$527.46	$1,089.41
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 $398.22 / $505.76 / $1,152.14	Professional		$398.22	$505.76	$1,152.14
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $540.39 / $1,990.00 / $8,917.50	Facility		$540.39	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $540.39 / $540.39 / $813.97	Professional		$540.39	$540.39	$813.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $595.22 / $595.22 / $595.22	Facility		$595.22	$595.22	$595.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.88 / $652.69 / $1,649.55	Professional		$363.88	$652.69	$1,649.55
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $535.00 / $892.55	Facility		$332.00	$535.00	$892.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $550.78 / $759.44 / $1,112.47	Professional		$550.78	$759.44	$1,112.47
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $472.98 / $472.98 / $472.98	Facility		$472.98	$472.98	$472.98
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $429.43 / $603.13 / $1,073.76	Professional		$429.43	$603.13	$1,073.76
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $595.22 / $597.00	Facility		$555.00	$595.22	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $397.74 / $694.34 / $1,642.26	Professional		$397.74	$694.34	$1,642.26
United Facility/Professional Facility Modifier Low / Median / High Price $2,341.00 / $6,700.00 / $16,782.00	Facility		$2,341.00	$6,700.00	$16,782.00
United Facility/Professional Professional Modifier Low / Median / High Price $448.71 / $640.76 / $1,535.95	Professional		$448.71	$640.76	$1,535.95
Univera Facility/Professional Facility Modifier Low / Median / High Price $421.13 / $421.13 / $1,847.26	Facility		$421.13	$421.13	$1,847.26
Univera Facility/Professional Professional Modifier Low / Median / High Price $453.35 / $633.04 / $1,073.76	Professional		$453.35	$633.04	$1,073.76