Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $720.94 / $4,308.00 / $10,024.00	Facility		$720.94	$4,308.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $507.43 / $598.87 / $1,116.90	Professional		$507.43	$598.87	$1,116.90
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 $446.90 / $584.19 / $1,398.57	Professional		$446.90	$584.19	$1,398.57
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $810.30 / $1,990.00 / $8,917.50	Facility		$810.30	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $810.30 / $810.30 / $810.30	Professional		$810.30	$810.30	$810.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $659.16 / $659.16 / $659.16	Facility		$659.16	$659.16	$659.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $565.38 / $846.92 / $2,153.02	Professional		$565.38	$846.92	$2,153.02
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $793.00 / $1,553.31	Facility		$332.00	$793.00	$1,553.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $635.16 / $902.12 / $1,332.39	Professional		$635.16	$902.12	$1,332.39
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $545.44 / $545.44 / $545.44	Facility		$545.44	$545.44	$545.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $454.26 / $694.74 / $1,225.54	Professional		$454.26	$694.74	$1,225.54
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $659.16	Facility		$555.00	$597.00	$659.16
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $566.27 / $846.92 / $1,998.54	Professional		$566.27	$846.92	$1,998.54
United Facility/Professional Facility Modifier Low / Median / High Price $2,380.00 / $4,893.00 / $10,315.00	Facility		$2,380.00	$4,893.00	$10,315.00
United Facility/Professional Professional Modifier Low / Median / High Price $511.16 / $730.48 / $1,790.65	Professional		$511.16	$730.48	$1,790.65
Univera Facility/Professional Facility Modifier Low / Median / High Price $694.74 / $694.74 / $2,390.17	Facility		$694.74	$694.74	$2,390.17
Univera Facility/Professional Professional Modifier Low / Median / High Price $472.43 / $760.13 / $1,468.58	Professional		$472.43	$760.13	$1,468.58