Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $653.63 / $4,308.00 / $10,024.00	Facility		$653.63	$4,308.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $465.83 / $532.86 / $1,153.90	Professional		$465.83	$532.86	$1,153.90
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 $413.43 / $534.79 / $1,264.95	Professional		$413.43	$534.79	$1,264.95
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $721.77 / $1,990.00 / $8,917.50	Facility		$721.77	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $721.77 / $721.77 / $721.77	Professional		$721.77	$721.77	$721.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $585.13 / $585.13 / $585.13	Facility		$585.13	$585.13	$585.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $511.80 / $771.04 / $1,959.98	Professional		$511.80	$771.04	$1,959.98
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $744.00 / $1,379.63	Facility		$332.00	$744.00	$1,379.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $563.80 / $801.04 / $1,183.42	Professional		$563.80	$801.04	$1,183.42
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $484.17 / $484.17 / $484.17	Facility		$484.17	$484.17	$484.17
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $419.01 / $616.19 / $1,086.98	Professional		$419.01	$616.19	$1,086.98
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $585.13 / $597.00	Facility		$555.00	$585.13	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $529.42 / $768.07 / $1,776.70	Professional		$529.42	$768.07	$1,776.70
United Facility/Professional Facility Modifier Low / Median / High Price $2,444.00 / $6,949.96 / $16,622.00	Facility		$2,444.00	$6,949.96	$16,622.00
United Facility/Professional Professional Modifier Low / Median / High Price $469.13 / $655.84 / $1,564.63	Professional		$469.13	$655.84	$1,564.63
Univera Facility/Professional Facility Modifier Low / Median / High Price $616.19 / $616.19 / $2,356.85	Facility		$616.19	$616.19	$2,356.85
Univera Facility/Professional Professional Modifier Low / Median / High Price $451.40 / $640.84 / $1,302.53	Professional		$451.40	$640.84	$1,302.53