Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $648.99 / $3,621.00 / $10,965.00	Facility		$648.99	$3,621.00	$10,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $538.74 / $654.67 / $1,174.00	Professional		$538.74	$654.67	$1,174.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,651.00 / $3,263.00 / $4,636.00	Facility		$1,651.00	$3,263.00	$4,636.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $440.53 / $547.05 / $1,354.24	Professional		$440.53	$547.05	$1,354.24
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $860.64 / $860.64 / $8,917.50	Facility		$860.64	$860.64	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $860.64 / $860.64 / $860.64	Professional		$860.64	$860.64	$860.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.19 / $691.19 / $7,227.90	Facility		$691.19	$691.19	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $517.87 / $934.00 / $2,262.77	Professional		$517.87	$934.00	$2,262.77
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $831.00 / $1,647.05	Facility		$332.00	$831.00	$1,647.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $658.82 / $846.72 / $1,266.39	Professional		$658.82	$846.72	$1,266.39
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $568.03 / $568.03 / $568.03	Facility		$568.03	$568.03	$568.03
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $449.95 / $726.87 / $1,128.10	Professional		$449.95	$726.87	$1,128.10
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $691.19 / $7,227.90	Facility		$597.00	$691.19	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $610.11 / $879.74 / $2,070.26	Professional		$610.11	$879.74	$2,070.26
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 $505.80 / $700.76 / $1,626.14	Professional		$505.80	$700.76	$1,626.14
Univera Facility/Professional Facility Modifier Low / Median / High Price $726.87 / $726.87 / $2,068.59	Facility		$726.87	$726.87	$2,068.59
Univera Facility/Professional Professional Modifier Low / Median / High Price $449.95 / $815.22 / $1,545.27	Professional		$449.95	$815.22	$1,545.27