Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $564.86 / $4,029.00 / $10,024.00	Facility		$564.86	$4,029.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $415.26 / $471.91 / $1,114.60	Professional		$415.26	$471.91	$1,114.60
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 $367.43 / $471.98 / $1,090.16	Professional		$367.43	$471.98	$1,090.16
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $640.29 / $1,990.00 / $8,917.50	Facility		$640.29	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $640.29 / $640.29 / $640.29	Professional		$640.29	$640.29	$640.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $523.76 / $523.76 / $523.76	Facility		$523.76	$523.76	$523.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $456.09 / $684.55 / $1,674.91	Professional		$456.09	$684.55	$1,674.91
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $650.00 / $1,233.90	Facility		$332.00	$650.00	$1,233.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $504.74 / $716.67 / $1,058.41	Professional		$504.74	$716.67	$1,058.41
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $433.44 / $433.44 / $433.44	Facility		$433.44	$433.44	$433.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.49 / $464.36 / $963.71	Professional		$371.49	$464.36	$963.71
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $523.76 / $555.00 / $597.00	Facility		$523.76	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $466.96 / $684.55 / $1,582.01	Professional		$466.96	$684.55	$1,582.01
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 $410.05 / $599.07 / $1,591.87	Professional		$410.05	$599.07	$1,591.87
Univera Facility/Professional Facility Modifier Low / Median / High Price $546.30 / $546.30 / $2,049.33	Facility		$546.30	$546.30	$2,049.33
Univera Facility/Professional Professional Modifier Low / Median / High Price $378.05 / $604.04 / $1,154.82	Professional		$378.05	$604.04	$1,154.82