Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $685.12 / $3,100.00 / $10,170.00	Facility		$685.12	$3,100.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $559.08 / $714.43 / $1,227.54	Professional		$559.08	$714.43	$1,227.54
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 $529.80 / $657.94 / $1,462.98	Professional		$529.80	$657.94	$1,462.98
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $946.58 / $946.58 / $37,499.62	Facility		$946.58	$946.58	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $946.58 / $946.58 / $946.58	Professional		$946.58	$946.58	$946.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $759.22 / $759.22 / $7,227.90	Facility		$759.22	$759.22	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $552.69 / $963.76 / $2,482.59	Professional		$552.69	$963.76	$2,482.59
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $540.50 / $1,813.79	Facility		$332.00	$540.50	$1,813.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $725.52 / $932.35 / $1,394.60	Professional		$725.52	$932.35	$1,394.60
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $625.23 / $625.23 / $625.23	Facility		$625.23	$625.23	$625.23
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $488.72 / $719.01 / $1,235.83	Professional		$488.72	$719.01	$1,235.83
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $759.22 / $7,227.90	Facility		$597.00	$759.22	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $649.64 / $927.99 / $2,223.75	Professional		$649.64	$927.99	$2,223.75
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 $550.05 / $766.50 / $1,974.15	Professional		$550.05	$766.50	$1,974.15
Univera Facility/Professional Facility Modifier Low / Median / High Price $796.28 / $796.28 / $2,346.71	Facility		$796.28	$796.28	$2,346.71
Univera Facility/Professional Professional Modifier Low / Median / High Price $488.72 / $893.06 / $1,692.84	Professional		$488.72	$893.06	$1,692.84