Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $642.91 / $4,043.00 / $9,868.00	Facility		$642.91	$4,043.00	$9,868.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $473.35 / $594.77 / $994.73	Professional		$473.35	$594.77	$994.73
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 $409.67 / $508.74 / $1,180.82	Professional		$409.67	$508.74	$1,180.82
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $713.73 / $1,990.00 / $8,917.50	Facility		$713.73	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $713.73 / $713.73 / $713.73	Professional		$713.73	$713.73	$713.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $576.29 / $576.29 / $5,246.94	Facility		$576.29	$576.29	$5,246.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $395.28 / $792.33 / $1,798.90	Professional		$395.28	$792.33	$1,798.90
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $245.00 / $332.00 / $1,324.35	Facility		$245.00	$332.00	$1,324.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $529.74 / $690.53 / $1,033.42	Professional		$529.74	$690.53	$1,033.42
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $476.23 / $476.23 / $862.75	Facility		$476.23	$476.23	$862.75
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $423.34 / $593.42 / $934.72	Professional		$423.34	$593.42	$934.72
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $576.29 / $576.29 / $5,246.94	Facility		$576.29	$576.29	$5,246.94
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $513.15 / $755.78 / $1,700.89	Professional		$513.15	$755.78	$1,700.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,585.00 / $3,908.00 / $9,047.00	Facility		$1,585.00	$3,908.00	$9,047.00
United Facility/Professional Professional Modifier Low / Median / High Price $418.39 / $579.59 / $1,304.11	Professional		$418.39	$579.59	$1,304.11
Univera Facility/Professional Facility Modifier Low / Median / High Price $611.73 / $611.73 / $2,098.50	Facility		$611.73	$611.73	$2,098.50
Univera Facility/Professional Professional Modifier Low / Median / High Price $487.74 / $669.11 / $1,293.09	Professional		$487.74	$669.11	$1,293.09