Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $594.04 / $4,051.00 / $10,024.00	Facility		$594.04	$4,051.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $422.89 / $493.73 / $828.85	Professional		$422.89	$493.73	$828.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,385.00 / $4,133.00 / $9,074.00	Facility		$2,385.00	$4,133.00	$9,074.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $375.01 / $488.91 / $1,131.68	Professional		$375.01	$488.91	$1,131.68
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $665.79 / $1,990.00 / $8,917.50	Facility		$665.79	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $665.79 / $665.79 / $665.79	Professional		$665.79	$665.79	$665.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $537.02 / $537.02 / $537.02	Facility		$537.02	$537.02	$537.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $455.94 / $696.77 / $1,629.22	Professional		$455.94	$696.77	$1,629.22
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $328.00 / $496.72 / $1,195.33	Facility		$328.00	$496.72	$1,195.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $519.72 / $702.19 / $1,025.33	Professional		$519.72	$702.19	$1,025.33
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $446.31 / $446.31 / $446.31	Facility		$446.31	$446.31	$446.31
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $401.01 / $569.98 / $1,005.46	Professional		$401.01	$569.98	$1,005.46
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $537.02 / $555.00 / $597.00	Facility		$537.02	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $478.13 / $691.98 / $1,586.56	Professional		$478.13	$691.98	$1,586.56
United Facility/Professional Facility Modifier Low / Median / High Price $2,160.00 / $4,114.00 / $8,841.00	Facility		$2,160.00	$4,114.00	$8,841.00
United Facility/Professional Professional Modifier Low / Median / High Price $427.78 / $595.94 / $1,440.66	Professional		$427.78	$595.94	$1,440.66
Univera Facility/Professional Facility Modifier Low / Median / High Price $569.98 / $569.98 / $1,851.92	Facility		$569.98	$569.98	$1,851.92
Univera Facility/Professional Professional Modifier Low / Median / High Price $444.71 / $621.97 / $1,204.84	Professional		$444.71	$621.97	$1,204.84