Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $452.78 / $2,626.00 / $7,307.00	Facility		$452.78	$2,626.00	$7,307.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $349.17 / $516.66 / $920.22	Professional		$349.17	$516.66	$920.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,373.00 / $4,085.00 / $8,281.00	Facility		$2,373.00	$4,085.00	$8,281.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $348.32 / $432.56 / $1,133.24	Professional		$348.32	$432.56	$1,133.24
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $495.03 / $1,254.00 / $4,050.00	Facility		$495.03	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $495.03 / $495.03 / $759.54	Professional		$495.03	$495.03	$759.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $604.02 / $604.02 / $3,479.91	Facility		$604.02	$604.02	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $362.69 / $668.55 / $1,548.01	Professional		$362.69	$668.55	$1,548.01
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $475.00 / $935.80	Facility		$332.00	$475.00	$935.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $565.41 / $732.77 / $1,093.98	Professional		$565.41	$732.77	$1,093.98
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $482.13 / $482.13 / $504.14	Facility		$482.13	$482.13	$504.14
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $392.63 / $655.92 / $1,017.98	Professional		$392.63	$655.92	$1,017.98
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $604.02 / $3,714.60	Facility		$597.00	$604.02	$3,714.60
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $402.00 / $693.19 / $1,437.84	Professional		$402.00	$693.19	$1,437.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,269.00 / $3,612.00 / $8,133.00	Facility		$1,269.00	$3,612.00	$8,133.00
United Facility/Professional Professional Modifier Low / Median / High Price $421.15 / $586.13 / $1,427.55	Professional		$421.15	$586.13	$1,427.55
Univera Facility/Professional Facility Modifier Low / Median / High Price $431.23 / $431.23 / $1,450.97	Facility		$431.23	$431.23	$1,450.97
Univera Facility/Professional Professional Modifier Low / Median / High Price $392.63 / $682.15 / $1,139.48	Professional		$392.63	$682.15	$1,139.48