Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $725.24 / $3,100.00 / $10,170.00	Facility		$725.24	$3,100.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $582.53 / $725.24 / $1,281.32	Professional		$582.53	$725.24	$1,281.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $4,960.00 / $11,448.00	Facility		$3,283.00	$4,960.00	$11,448.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.39 / $622.64 / $1,442.32	Professional		$501.39	$622.64	$1,442.32
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $888.07 / $888.07 / $37,499.62	Facility		$888.07	$888.07	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $888.07 / $888.07 / $888.07	Professional		$888.07	$888.07	$888.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $723.86 / $723.86 / $7,227.90	Facility		$723.86	$723.86	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $517.89 / $960.30 / $2,213.03	Professional		$517.89	$960.30	$2,213.03
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,094.35 / $1,820.88	Facility		$332.00	$1,094.35	$1,820.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $664.34 / $867.11 / $1,297.68	Professional		$664.34	$867.11	$1,297.68
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $598.01 / $598.01 / $598.01	Facility		$598.01	$598.01	$598.01
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $517.00 / $767.81 / $1,191.64	Professional		$517.00	$767.81	$1,191.64
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $723.86 / $7,227.90	Facility		$597.00	$723.86	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $637.16 / $918.22 / $2,103.04	Professional		$637.16	$918.22	$2,103.04
United Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $4,194.00 / $9,020.04	Facility		$996.00	$4,194.00	$9,020.04
United Facility/Professional Professional Modifier Low / Median / High Price $524.69 / $747.51 / $1,758.04	Professional		$524.69	$747.51	$1,758.04
Univera Facility/Professional Facility Modifier Low / Median / High Price $767.81 / $767.81 / $2,535.37	Facility		$767.81	$767.81	$2,535.37
Univera Facility/Professional Professional Modifier Low / Median / High Price $517.00 / $861.13 / $1,632.30	Professional		$517.00	$861.13	$1,632.30