Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $796.46 / $3,841.00 / $9,038.00	Facility		$796.46	$3,841.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $499.40 / $658.65 / $1,237.51	Professional		$499.40	$658.65	$1,237.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,385.00 / $4,133.00 / $9,074.00	Facility		$2,385.00	$4,133.00	$9,074.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $464.53 / $607.24 / $1,348.43	Professional		$464.53	$607.24	$1,348.43
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $825.27 / $825.27 / $12,319.50	Facility		$825.27	$825.27	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $825.27 / $825.27 / $825.27	Professional		$825.27	$825.27	$825.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $658.46 / $658.46 / $658.46	Facility		$658.46	$658.46	$658.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $536.03 / $843.24 / $2,308.36	Professional		$536.03	$843.24	$2,308.36
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $282.00 / $502.40 / $1,490.40	Facility		$282.00	$502.40	$1,490.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $636.45 / $872.57 / $1,278.43	Professional		$636.45	$872.57	$1,278.43
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $546.54 / $546.54 / $546.54	Facility		$546.54	$546.54	$546.54
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $437.01 / $680.04 / $1,235.18	Professional		$437.01	$680.04	$1,235.18
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $37,776.00	Facility		$555.00	$597.00	$37,776.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $575.21 / $856.88 / $2,276.14	Professional		$575.21	$856.88	$2,276.14
United Facility/Professional Facility Modifier Low / Median / High Price $2,031.00 / $4,840.00 / $9,416.00	Facility		$2,031.00	$4,840.00	$9,416.00
United Facility/Professional Professional Modifier Low / Median / High Price $515.73 / $774.01 / $1,713.12	Professional		$515.73	$774.01	$1,713.12
Univera Facility/Professional Facility Modifier Low / Median / High Price $680.04 / $680.04 / $2,332.17	Facility		$680.04	$680.04	$2,332.17
Univera Facility/Professional Professional Modifier Low / Median / High Price $476.14 / $749.43 / $1,480.13	Professional		$476.14	$749.43	$1,480.13