Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $514.66 / $4,629.00 / $10,517.90	Facility		$514.66	$4,629.00	$10,517.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $360.88 / $443.68 / $981.98	Professional		$360.88	$443.68	$981.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,248.00 / $4,838.00 / $11,446.00	Facility		$3,248.00	$4,838.00	$11,446.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $342.68 / $425.55 / $909.85	Professional		$342.68	$425.55	$909.85
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $577.77 / $2,390.00 / $10,957.50	Facility		$577.77	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $577.77 / $577.77 / $577.77	Professional		$577.77	$577.77	$577.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.44 / $466.44 / $6,511.02	Facility		$466.44	$466.44	$6,511.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.56 / $631.19 / $1,440.82	Professional		$346.56	$631.19	$1,440.82
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $450.00 / $1,110.78	Facility		$332.00	$450.00	$1,110.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $444.31 / $570.58 / $854.07	Professional		$444.31	$570.58	$854.07
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $382.23 / $382.23 / $1,040.38	Facility		$382.23	$382.23	$1,040.38
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $313.64 / $487.65 / $756.84	Professional		$313.64	$487.65	$756.84
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $466.44 / $555.00 / $6,511.02	Facility		$466.44	$555.00	$6,511.02
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $413.78 / $607.79 / $1,412.97	Professional		$413.78	$607.79	$1,412.97
United Facility/Professional Facility Modifier Low / Median / High Price $1,694.00 / $4,893.00 / $12,177.00	Facility		$1,694.00	$4,893.00	$12,177.00
United Facility/Professional Professional Modifier Low / Median / High Price $343.56 / $483.16 / $1,127.06	Professional		$343.56	$483.16	$1,127.06
Univera Facility/Professional Facility Modifier Low / Median / High Price $487.65 / $487.65 / $1,484.75	Facility		$487.65	$487.65	$1,484.75
Univera Facility/Professional Professional Modifier Low / Median / High Price $313.64 / $546.91 / $1,036.71	Professional		$313.64	$546.91	$1,036.71