Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $623.78 / $4,043.00 / $9,868.00	Facility		$623.78	$4,043.00	$9,868.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $475.79 / $602.77 / $967.20	Professional		$475.79	$602.77	$967.20
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 $373.16 / $467.43 / $1,172.42	Professional		$373.16	$467.43	$1,172.42
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $708.14 / $1,990.00 / $8,917.50	Facility		$708.14	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $708.14 / $708.14 / $708.14	Professional		$708.14	$708.14	$708.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $558.49 / $558.49 / $5,246.94	Facility		$558.49	$558.49	$5,246.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $396.46 / $780.00 / $1,793.57	Professional		$396.46	$780.00	$1,793.57
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $563.00 / $1,287.70	Facility		$332.00	$563.00	$1,287.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $563.71 / $686.77 / $1,002.67	Professional		$563.71	$686.77	$1,002.67
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $462.06 / $462.06 / $862.75	Facility		$462.06	$462.06	$862.75
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $369.65 / $567.29 / $925.73	Professional		$369.65	$567.29	$925.73
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $558.49 / $558.49 / $7,771.36	Facility		$558.49	$558.49	$7,771.36
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $503.94 / $741.30 / $1,667.49	Professional		$503.94	$741.30	$1,667.49
United Facility/Professional Facility Modifier Low / Median / High Price $2,160.00 / $5,547.00 / $13,746.00	Facility		$2,160.00	$5,547.00	$13,746.00
United Facility/Professional Professional Modifier Low / Median / High Price $406.81 / $566.11 / $1,281.44	Professional		$406.81	$566.11	$1,281.44
Univera Facility/Professional Facility Modifier Low / Median / High Price $596.48 / $596.48 / $2,030.40	Facility		$596.48	$596.48	$2,030.40
Univera Facility/Professional Professional Modifier Low / Median / High Price $369.65 / $668.97 / $1,268.06	Professional		$369.65	$668.97	$1,268.06