Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $507.66 / $4,039.00 / $10,170.00	Facility		$507.66	$4,039.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $347.25 / $523.11 / $996.34	Professional		$347.25	$523.11	$996.34
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 $413.53 / $525.20 / $1,176.39	Professional		$413.53	$525.20	$1,176.39
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $519.82 / $2,390.00 / $10,957.50	Facility		$519.82	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $519.82 / $519.82 / $752.82	Professional		$519.82	$519.82	$752.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $623.66 / $623.66 / $623.66	Facility		$623.66	$623.66	$623.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $379.21 / $657.46 / $1,651.99	Professional		$379.21	$657.46	$1,651.99
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $220.00 / $352.00 / $937.85	Facility		$220.00	$352.00	$937.85
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $563.02 / $776.64 / $1,137.83	Professional		$563.02	$776.64	$1,137.83
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $483.49 / $483.49 / $483.49	Facility		$483.49	$483.49	$483.49
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $434.84 / $616.53 / $1,101.14	Professional		$434.84	$616.53	$1,101.14
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $623.66	Facility		$555.00	$597.00	$623.66
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $415.38 / $708.34 / $1,636.71	Professional		$415.38	$708.34	$1,636.71
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.00 / $3,496.00 / $6,201.00	Facility		$1,348.00	$3,496.00	$6,201.00
United Facility/Professional Professional Modifier Low / Median / High Price $476.78 / $665.76 / $1,595.25	Professional		$476.78	$665.76	$1,595.25
Univera Facility/Professional Facility Modifier Low / Median / High Price $443.77 / $443.77 / $1,829.89	Facility		$443.77	$443.77	$1,829.89
Univera Facility/Professional Professional Modifier Low / Median / High Price $434.84 / $649.19 / $1,101.14	Professional		$434.84	$649.19	$1,101.14