Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $679.62 / $4,392.00 / $10,170.00	Facility		$679.62	$4,392.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $482.78 / $554.02 / $1,033.80	Professional		$482.78	$554.02	$1,033.80
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 $429.52 / $553.97 / $1,273.88	Professional		$429.52	$553.97	$1,273.88
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $750.13 / $1,990.00 / $8,917.50	Facility		$750.13	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $750.13 / $750.13 / $750.13	Professional		$750.13	$750.13	$750.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $608.20 / $608.20 / $608.20	Facility		$608.20	$608.20	$608.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $523.53 / $804.94 / $1,996.41	Professional		$523.53	$804.94	$1,996.41
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $578.98 / $1,432.67	Facility		$332.00	$578.98	$1,432.67
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $586.24 / $832.06 / $1,228.91	Professional		$586.24	$832.06	$1,228.91
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $503.42 / $503.42 / $503.42	Facility		$503.42	$503.42	$503.42
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.41 / $545.51 / $1,132.11	Professional		$436.41	$545.51	$1,132.11
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $608.20	Facility		$555.00	$597.00	$608.20
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $530.35 / $804.94 / $1,840.29	Professional		$530.35	$804.94	$1,840.29
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,248.00 / $11,200.00	Facility		$2,264.00	$5,248.00	$11,200.00
United Facility/Professional Professional Modifier Low / Median / High Price $469.46 / $652.03 / $1,661.49	Professional		$469.46	$652.03	$1,661.49
Univera Facility/Professional Facility Modifier Low / Median / High Price $641.78 / $641.78 / $2,516.13	Facility		$641.78	$641.78	$2,516.13
Univera Facility/Professional Professional Modifier Low / Median / High Price $447.55 / $701.57 / $1,356.63	Professional		$447.55	$701.57	$1,356.63