Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $779.19 / $4,260.00 / $9,868.00	Facility		$779.19	$4,260.00	$9,868.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $578.41 / $666.63 / $1,377.60	Professional		$578.41	$666.63	$1,377.60
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 $524.33 / $664.84 / $1,526.07	Professional		$524.33	$664.84	$1,526.07
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $902.37 / $2,644.00 / $12,319.50	Facility		$902.37	$2,644.00	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $902.37 / $902.37 / $902.37	Professional		$902.37	$902.37	$902.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $732.81 / $732.81 / $732.81	Facility		$732.81	$732.81	$732.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $631.70 / $955.23 / $2,408.88	Professional		$631.70	$955.23	$2,408.88
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $883.00 / $1,727.64	Facility		$332.00	$883.00	$1,727.64
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $697.37 / $1,003.00 / $1,481.93	Professional		$697.37	$1,003.00	$1,481.93
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $606.50 / $606.50 / $606.50	Facility		$606.50	$606.50	$606.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.97 / $771.19 / $1,360.40	Professional		$512.97	$771.19	$1,360.40
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $732.81	Facility		$555.00	$597.00	$732.81
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $652.66 / $949.50 / $2,222.94	Professional		$652.66	$949.50	$2,222.94
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 $566.51 / $821.72 / $2,041.70	Professional		$566.51	$821.72	$2,041.70
Univera Facility/Professional Facility Modifier Low / Median / High Price $771.19 / $771.19 / $1,879.82	Facility		$771.19	$771.19	$1,879.82
Univera Facility/Professional Professional Modifier Low / Median / High Price $524.41 / $845.22 / $1,630.18	Professional		$524.41	$845.22	$1,630.18