Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $715.80 / $3,100.00 / $10,170.00	Facility		$715.80	$3,100.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $580.97 / $715.80 / $1,280.02	Professional		$580.97	$715.80	$1,280.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,100.00 / $7,264.00 / $12,869.00	Facility		$4,100.00	$7,264.00	$12,869.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $492.39 / $611.46 / $1,424.21	Professional		$492.39	$611.46	$1,424.21
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $872.56 / $872.56 / $37,499.62	Facility		$872.56	$872.56	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $872.56 / $872.56 / $872.56	Professional		$872.56	$872.56	$872.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $711.65 / $711.65 / $7,227.90	Facility		$711.65	$711.65	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $510.31 / $952.96 / $2,184.35	Professional		$510.31	$952.96	$2,184.35
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,079.15 / $1,832.22	Facility		$332.00	$1,079.15	$1,832.22
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $655.93 / $855.07 / $1,279.65	Professional		$655.93	$855.07	$1,279.65
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $589.70 / $589.70 / $589.70	Facility		$589.70	$589.70	$589.70
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $513.95 / $678.16 / $1,173.01	Professional		$513.95	$678.16	$1,173.01
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $711.65 / $7,227.90	Facility		$597.00	$711.65	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $625.73 / $936.18 / $2,125.29	Professional		$625.73	$936.18	$2,125.29
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 $518.04 / $722.95 / $1,594.73	Professional		$518.04	$722.95	$1,594.73
Univera Facility/Professional Facility Modifier Low / Median / High Price $755.80 / $755.80 / $2,570.67	Facility		$755.80	$755.80	$2,570.67
Univera Facility/Professional Professional Modifier Low / Median / High Price $519.54 / $847.66 / $1,606.78	Professional		$519.54	$847.66	$1,606.78