Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $840.12 / $4,442.00 / $10,170.00	Facility		$840.12	$4,442.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $566.95 / $663.93 / $1,451.08	Professional		$566.95	$663.93	$1,451.08
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 $518.98 / $678.41 / $1,582.22	Professional		$518.98	$678.41	$1,582.22
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $900.03 / $1,990.00 / $8,917.50	Facility		$900.03	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $900.03 / $900.03 / $900.03	Professional		$900.03	$900.03	$900.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $729.09 / $729.09 / $729.09	Facility		$729.09	$729.09	$729.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $640.08 / $960.77 / $2,394.67	Professional		$640.08	$960.77	$2,394.67
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $865.00 / $1,718.39	Facility		$332.00	$865.00	$1,718.39
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $702.72 / $997.76 / $1,474.00	Professional		$702.72	$997.76	$1,474.00
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $603.45 / $603.45 / $603.45	Facility		$603.45	$603.45	$603.45
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $522.48 / $768.36 / $1,355.41	Professional		$522.48	$768.36	$1,355.41
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $729.09 / $15,753.00	Facility		$555.00	$729.09	$15,753.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $660.15 / $960.72 / $2,220.88	Professional		$660.15	$960.72	$2,220.88
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 $562.90 / $772.51 / $1,888.16	Professional		$562.90	$772.51	$1,888.16
Univera Facility/Professional Facility Modifier Low / Median / High Price $768.36 / $768.36 / $2,741.61	Facility		$768.36	$768.36	$2,741.61
Univera Facility/Professional Professional Modifier Low / Median / High Price $529.88 / $840.97 / $1,624.19	Professional		$529.88	$840.97	$1,624.19