Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $839.54 / $4,392.00 / $10,024.00	Facility		$839.54	$4,392.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $569.72 / $664.08 / $1,171.47	Professional		$569.72	$664.08	$1,171.47
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 $598.05 / $742.69 / $1,630.88	Professional		$598.05	$742.69	$1,630.88
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $877.17 / $1,990.00 / $8,917.50	Facility		$877.17	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $877.17 / $877.17 / $877.17	Professional		$877.17	$877.17	$877.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $711.98 / $711.98 / $711.98	Facility		$711.98	$711.98	$711.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $619.04 / $1,032.05 / $2,376.51	Professional		$619.04	$1,032.05	$2,376.51
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $637.50 / $1,643.47	Facility		$332.00	$637.50	$1,643.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $692.13 / $959.61 / $1,409.73	Professional		$692.13	$959.61	$1,409.73
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $594.37 / $594.37 / $594.37	Facility		$594.37	$594.37	$594.37
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $551.32 / $654.36 / $1,319.88	Professional		$551.32	$654.36	$1,319.88
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $711.98	Facility		$555.00	$597.00	$711.98
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $644.41 / $955.18 / $2,205.50	Professional		$644.41	$955.18	$2,205.50
United Facility/Professional Facility Modifier Low / Median / High Price $2,031.00 / $4,840.00 / $9,416.00	Facility		$2,031.00	$4,840.00	$9,416.00
United Facility/Professional Professional Modifier Low / Median / High Price $547.39 / $786.78 / $1,816.62	Professional		$547.39	$786.78	$1,816.62
Univera Facility/Professional Facility Modifier Low / Median / High Price $748.22 / $748.22 / $2,818.87	Facility		$748.22	$748.22	$2,818.87
Univera Facility/Professional Professional Modifier Low / Median / High Price $557.34 / $828.31 / $1,581.62	Professional		$557.34	$828.31	$1,581.62