Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $641.72 / $3,100.00 / $10,170.00	Facility		$641.72	$3,100.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.12 / $614.96 / $1,131.46	Professional		$489.12	$614.96	$1,131.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $4,922.00 / $11,208.00	Facility		$3,283.00	$4,922.00	$11,208.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $439.77 / $546.12 / $1,198.25	Professional		$439.77	$546.12	$1,198.25
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $787.29 / $787.29 / $37,499.62	Facility		$787.29	$787.29	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $787.29 / $787.29 / $787.29	Professional		$787.29	$787.29	$787.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.51 / $630.51 / $7,227.90	Facility		$630.51	$630.51	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $471.89 / $808.77 / $2,063.66	Professional		$471.89	$808.77	$2,063.66
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $585.20 / $1,506.38	Facility		$332.00	$585.20	$1,506.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $602.54 / $774.36 / $1,158.24	Professional		$602.54	$774.36	$1,158.24
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $519.19 / $519.19 / $519.19	Facility		$519.19	$519.19	$519.19
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $383.68 / $661.07 / $1,025.98	Professional		$383.68	$661.07	$1,025.98
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $630.51 / $7,227.90	Facility		$597.00	$630.51	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $543.85 / $783.85 / $1,829.87	Professional		$543.85	$783.85	$1,829.87
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 $461.66 / $652.62 / $1,499.43	Professional		$461.66	$652.62	$1,499.43
Univera Facility/Professional Facility Modifier Low / Median / High Price $661.07 / $661.07 / $1,811.29	Facility		$661.07	$661.07	$1,811.29
Univera Facility/Professional Professional Modifier Low / Median / High Price $383.68 / $741.42 / $1,397.40	Professional		$383.68	$741.42	$1,397.40