Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.69 / $4,258.00 / $10,686.00	Facility		$562.69	$4,258.00	$10,686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.13 / $483.92 / $778.37	Professional		$398.13	$483.92	$778.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,070.00 / $6,992.00 / $12,173.00	Facility		$4,070.00	$6,992.00	$12,173.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $337.10 / $418.62 / $924.55	Professional		$337.10	$418.62	$924.55
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $575.85 / $4,275.50 / $16,534.50	Facility		$575.85	$4,275.50	$16,534.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $575.85 / $575.85 / $575.85	Professional		$575.85	$575.85	$575.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $459.91 / $459.91 / $13,296.25	Facility		$459.91	$459.91	$13,296.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $339.37 / $668.50 / $1,422.37	Professional		$339.37	$668.50	$1,422.37
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $686.00 / $1,426.80	Facility		$332.00	$686.00	$1,426.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $410.18 / $545.65 / $816.59	Professional		$410.18	$545.65	$816.59
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $376.31 / $376.31 / $1,522.50	Facility		$376.31	$376.31	$1,522.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $351.04 / $483.89 / $751.00	Professional		$351.04	$483.89	$751.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $459.91 / $597.00 / $13,296.25	Facility		$459.91	$597.00	$13,296.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $419.99 / $615.32 / $1,359.31	Professional		$419.99	$615.32	$1,359.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,694.00 / $4,893.00 / $11,176.00	Facility		$1,694.00	$4,893.00	$11,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $340.69 / $485.55 / $1,154.25	Professional		$340.69	$485.55	$1,154.25
Univera Facility/Professional Facility Modifier Low / Median / High Price $483.89 / $483.89 / $1,723.43	Facility		$483.89	$483.89	$1,723.43
Univera Facility/Professional Professional Modifier Low / Median / High Price $362.99 / $505.38 / $1,028.71	Professional		$362.99	$505.38	$1,028.71