Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $557.99 / $3,020.00 / $10,170.00	Facility		$557.99	$3,020.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $444.68 / $557.99 / $1,119.21	Professional		$444.68	$557.99	$1,119.21
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 $384.50 / $477.48 / $1,113.43	Professional		$384.50	$477.48	$1,113.43
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $712.71 / $2,390.00 / $10,957.50	Facility		$712.71	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $712.71 / $712.71 / $712.71	Professional		$712.71	$712.71	$712.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $574.34 / $574.34 / $13,296.25	Facility		$574.34	$574.34	$13,296.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $425.47 / $750.31 / $1,854.83	Professional		$425.47	$750.31	$1,854.83
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $493.90 / $1,370.54	Facility		$332.00	$493.90	$1,370.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $548.22 / $707.71 / $1,053.79	Professional		$548.22	$707.71	$1,053.79
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $472.99 / $472.99 / $1,522.50	Facility		$472.99	$472.99	$1,522.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $601.33 / $933.26	Professional		$398.11	$601.33	$933.26
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $574.34 / $574.34 / $13,296.25	Facility		$574.34	$574.34	$13,296.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $476.49 / $714.60 / $1,647.21	Professional		$476.49	$714.60	$1,647.21
United Facility/Professional Facility Modifier Low / Median / High Price $2,164.00 / $4,660.00 / $10,046.00	Facility		$2,164.00	$4,660.00	$10,046.00
United Facility/Professional Professional Modifier Low / Median / High Price $432.98 / $592.41 / $1,413.73	Professional		$432.98	$592.41	$1,413.73
Univera Facility/Professional Facility Modifier Low / Median / High Price $601.33 / $601.33 / $1,522.50	Facility		$601.33	$601.33	$1,522.50
Univera Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $674.41 / $1,271.10	Professional		$398.11	$674.41	$1,271.10