Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $673.35 / $4,039.00 / $10,170.00	Facility		$673.35	$4,039.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $486.49 / $673.35 / $1,155.10	Professional		$486.49	$673.35	$1,155.10
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 $542.28 / $685.07 / $1,472.76	Professional		$542.28	$685.07	$1,472.76
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $691.17 / $2,390.00 / $10,957.50	Facility		$691.17	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $691.17 / $691.17 / $942.31	Professional		$691.17	$691.17	$942.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $835.21 / $835.21 / $835.21	Facility		$835.21	$835.21	$835.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $500.98 / $851.97 / $2,131.16	Professional		$500.98	$851.97	$2,131.16
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $832.18 / $1,815.62	Facility		$332.00	$832.18	$1,815.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $717.10 / $981.91 / $1,436.69	Professional		$717.10	$981.91	$1,436.69
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $615.79 / $615.79 / $615.79	Facility		$615.79	$615.79	$615.79
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $557.42 / $673.33 / $1,397.37	Professional		$557.42	$673.33	$1,397.37
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $835.21	Facility		$555.00	$597.00	$835.21
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $550.16 / $922.73 / $2,067.17	Professional		$550.16	$922.73	$2,067.17
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 $601.40 / $835.28 / $2,048.89	Professional		$601.40	$835.28	$2,048.89
Univera Facility/Professional Facility Modifier Low / Median / High Price $590.37 / $590.37 / $2,516.81	Facility		$590.37	$590.37	$2,516.81
Univera Facility/Professional Professional Modifier Low / Median / High Price $576.21 / $858.19 / $1,397.37	Professional		$576.21	$858.19	$1,397.37