Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $719.99 / $3,100.00 / $10,170.00	Facility		$719.99	$3,100.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.04 / $719.99 / $1,155.66	Professional		$537.04	$719.99	$1,155.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $4,975.00 / $11,448.00	Facility		$3,283.00	$4,975.00	$11,448.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $492.95 / $612.16 / $1,317.80	Professional		$492.95	$612.16	$1,317.80
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $862.54 / $862.54 / $37,499.62	Facility		$862.54	$862.54	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $862.54 / $862.54 / $862.54	Professional		$862.54	$862.54	$862.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $697.07 / $697.07 / $7,227.90	Facility		$697.07	$697.07	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $519.77 / $941.24 / $2,275.80	Professional		$519.77	$941.24	$2,275.80
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $841.00 / $7,533.00	Facility		$332.00	$841.00	$7,533.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $663.03 / $851.38 / $1,274.49	Professional		$663.03	$851.38	$1,274.49
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $570.28 / $570.28 / $570.28	Facility		$570.28	$570.28	$570.28
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $494.48 / $655.82 / $1,130.42	Professional		$494.48	$655.82	$1,130.42
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $697.07 / $7,227.90	Facility		$597.00	$697.07	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $616.49 / $891.09 / $2,062.03	Professional		$616.49	$891.09	$2,062.03
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 $523.66 / $729.10 / $1,681.54	Professional		$523.66	$729.10	$1,681.54
Univera Facility/Professional Facility Modifier Low / Median / High Price $728.36 / $728.36 / $2,587.04	Facility		$728.36	$728.36	$2,587.04
Univera Facility/Professional Professional Modifier Low / Median / High Price $498.74 / $765.88 / $1,548.44	Professional		$498.74	$765.88	$1,548.44