Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $695.09 / $4,392.00 / $10,024.00	Facility		$695.09	$4,392.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.03 / $564.76 / $1,053.44	Professional		$478.03	$564.76	$1,053.44
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 $420.65 / $549.88 / $1,289.06	Professional		$420.65	$549.88	$1,289.06
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $763.72 / $1,990.00 / $8,917.50	Facility		$763.72	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $763.72 / $763.72 / $763.72	Professional		$763.72	$763.72	$763.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $622.33 / $622.33 / $622.33	Facility		$622.33	$622.33	$622.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $532.99 / $814.18 / $2,023.39	Professional		$532.99	$814.18	$2,023.39
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $740.00 / $1,466.75	Facility		$332.00	$740.00	$1,466.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $599.58 / $851.88 / $1,258.15	Professional		$599.58	$851.88	$1,258.15
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $514.88 / $514.88 / $514.88	Facility		$514.88	$514.88	$514.88
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.93 / $655.61 / $1,156.52	Professional		$436.93	$655.61	$1,156.52
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $622.33	Facility		$555.00	$597.00	$622.33
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $536.37 / $804.31 / $1,881.61	Professional		$536.37	$804.31	$1,881.61
United Facility/Professional Facility Modifier Low / Median / High Price $2,341.00 / $6,700.00 / $16,782.00	Facility		$2,341.00	$6,700.00	$16,782.00
United Facility/Professional Professional Modifier Low / Median / High Price $476.24 / $691.20 / $1,740.55	Professional		$476.24	$691.20	$1,740.55
Univera Facility/Professional Facility Modifier Low / Median / High Price $655.61 / $655.61 / $2,236.19	Facility		$655.61	$655.61	$2,236.19
Univera Facility/Professional Professional Modifier Low / Median / High Price $445.82 / $717.54 / $1,385.86	Professional		$445.82	$717.54	$1,385.86