Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $687.60 / $3,419.00 / $10,170.00	Facility		$687.60	$3,419.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $393.70 / $644.78 / $1,490.80	Professional		$393.70	$644.78	$1,490.80
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 $474.89 / $599.92 / $1,525.94	Professional		$474.89	$599.92	$1,525.94
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $799.73 / $1,254.00 / $4,050.00	Facility		$799.73	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $799.73 / $799.73 / $799.73	Professional		$799.73	$799.73	$799.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $661.80 / $661.80 / $661.80	Facility		$661.80	$661.80	$661.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $527.67 / $872.92 / $2,950.54	Professional		$527.67	$872.92	$2,950.54
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $970.01 / $1,897.81	Facility		$332.00	$970.01	$1,897.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $695.60 / $935.51 / $1,544.25	Professional		$695.60	$935.51	$1,544.25
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $530.05 / $530.05 / $530.05	Facility		$530.05	$530.05	$530.05
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $424.05 / $658.12 / $1,195.36	Professional		$424.05	$658.12	$1,195.36
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 $569.95 / $859.11 / $2,971.83	Professional		$569.95	$859.11	$2,971.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,768.00 / $3,961.00 / $8,312.00	Facility		$1,768.00	$3,961.00	$8,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $502.53 / $821.59 / $2,270.30	Professional		$502.53	$821.59	$2,270.30
Univera Facility/Professional Facility Modifier Low / Median / High Price $658.12 / $658.12 / $2,119.96	Facility		$658.12	$658.12	$2,119.96
Univera Facility/Professional Professional Modifier Low / Median / High Price $460.79 / $726.82 / $1,432.41	Professional		$460.79	$726.82	$1,432.41