Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.00 / $4,308.00 / $10,024.00	Facility		$645.00	$4,308.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $444.33 / $526.16 / $977.45	Professional		$444.33	$526.16	$977.45
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 $390.31 / $497.61 / $1,134.58	Professional		$390.31	$497.61	$1,134.58
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $709.89 / $1,990.00 / $8,917.50	Facility		$709.89	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $709.89 / $709.89 / $709.89	Professional		$709.89	$709.89	$709.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $581.41 / $581.41 / $581.41	Facility		$581.41	$581.41	$581.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $490.71 / $715.66 / $1,873.45	Professional		$490.71	$715.66	$1,873.45
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $674.00 / $1,369.89	Facility		$332.00	$674.00	$1,369.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $560.12 / $795.78 / $1,175.06	Professional		$560.12	$795.78	$1,175.06
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $481.00 / $481.00 / $481.00	Facility		$481.00	$481.00	$481.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $396.40 / $520.48 / $1,080.17	Professional		$396.40	$520.48	$1,080.17
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $581.41 / $597.00	Facility		$555.00	$581.41	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $495.57 / $716.51 / $1,731.22	Professional		$495.57	$716.51	$1,731.22
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 $442.38 / $625.51 / $1,531.15	Professional		$442.38	$625.51	$1,531.15
Univera Facility/Professional Facility Modifier Low / Median / High Price $612.33 / $612.33 / $2,030.58	Facility		$612.33	$612.33	$2,030.58
Univera Facility/Professional Professional Modifier Low / Median / High Price $396.40 / $670.32 / $1,294.36	Professional		$396.40	$670.32	$1,294.36