Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $737.28 / $4,072.50 / $10,296.00	Facility		$737.28	$4,072.50	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $552.80 / $651.17 / $1,366.73	Professional		$552.80	$651.17	$1,366.73
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 $507.97 / $663.96 / $1,454.55	Professional		$507.97	$663.96	$1,454.55
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $881.90 / $2,390.00 / $10,957.50	Facility		$881.90	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $881.90 / $881.90 / $881.90	Professional		$881.90	$881.90	$881.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.96 / $714.96 / $714.96	Facility		$714.96	$714.96	$714.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.41 / $911.92 / $2,337.13	Professional		$616.41	$911.92	$2,337.13
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $772.00 / $1,685.30	Facility		$332.00	$772.00	$1,685.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $689.04 / $978.52 / $1,445.61	Professional		$689.04	$978.52	$1,445.61
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $591.70 / $591.70 / $591.70	Facility		$591.70	$591.70	$591.70
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $466.23 / $753.55 / $1,329.29	Professional		$466.23	$753.55	$1,329.29
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $714.96	Facility		$555.00	$597.00	$714.96
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $635.76 / $911.92 / $2,176.19	Professional		$635.76	$911.92	$2,176.19
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 $554.00 / $777.45 / $1,917.67	Professional		$554.00	$777.45	$1,917.67
Univera Facility/Professional Facility Modifier Low / Median / High Price $753.55 / $753.55 / $2,545.37	Facility		$753.55	$753.55	$2,545.37
Univera Facility/Professional Professional Modifier Low / Median / High Price $494.22 / $824.60 / $1,592.89	Professional		$494.22	$824.60	$1,592.89