Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $815.46 / $3,599.00 / $9,038.00	Facility		$815.46	$3,599.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $612.16 / $780.63 / $1,301.52	Professional		$612.16	$780.63	$1,301.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,070.00 / $6,992.00 / $12,173.00	Facility		$4,070.00	$6,992.00	$12,173.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $485.09 / $602.40 / $1,481.90	Professional		$485.09	$602.40	$1,481.90
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $954.01 / $3,183.00 / $13,009.50	Facility		$954.01	$3,183.00	$13,009.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $954.01 / $954.01 / $954.01	Professional		$954.01	$954.01	$954.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $746.39 / $746.39 / $5,246.94	Facility		$746.39	$746.39	$5,246.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $520.28 / $995.25 / $2,305.11	Professional		$520.28	$995.25	$2,305.11
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $514.79 / $1,732.79	Facility		$332.00	$514.79	$1,732.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $693.12 / $913.55 / $1,342.90	Professional		$693.12	$913.55	$1,342.90
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $618.85 / $618.85 / $618.85	Facility		$618.85	$618.85	$618.85
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.27 / $759.78 / $1,235.21	Professional		$512.27	$759.78	$1,235.21
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $746.39 / $9,849.93	Facility		$597.00	$746.39	$9,849.93
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $560.87 / $936.57 / $2,207.23	Professional		$560.87	$936.57	$2,207.23
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,547.00 / $12,361.00	Facility		$2,264.00	$5,547.00	$12,361.00
United Facility/Professional Professional Modifier Low / Median / High Price $547.41 / $767.95 / $1,911.91	Professional		$547.41	$767.95	$1,911.91
Univera Facility/Professional Facility Modifier Low / Median / High Price $795.88 / $795.88 / $1,797.20	Facility		$795.88	$795.88	$1,797.20
Univera Facility/Professional Professional Modifier Low / Median / High Price $512.27 / $892.62 / $1,691.98	Professional		$512.27	$892.62	$1,691.98