Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $837.72 / $3,951.00 / $10,170.00	Facility		$837.72	$3,951.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $551.65 / $689.91 / $1,377.94	Professional		$551.65	$689.91	$1,377.94
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 $493.51 / $645.12 / $1,454.73	Professional		$493.51	$645.12	$1,454.73
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $848.40 / $1,716.00 / $6,213.00	Facility		$848.40	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $848.40 / $848.40 / $848.40	Professional		$848.40	$848.40	$848.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $704.17 / $704.17 / $704.17	Facility		$704.17	$704.17	$704.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $591.21 / $947.06 / $2,638.61	Professional		$591.21	$947.06	$2,638.61
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $715.00 / $1,737.00	Facility		$332.00	$715.00	$1,737.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $666.16 / $972.72 / $1,489.96	Professional		$666.16	$972.72	$1,489.96
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $572.05 / $572.05 / $572.05	Facility		$572.05	$572.05	$572.05
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $441.96 / $709.81 / $1,289.26	Professional		$441.96	$709.81	$1,289.26
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $49,110.00	Facility		$555.00	$597.00	$49,110.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $611.54 / $942.88 / $2,584.71	Professional		$611.54	$942.88	$2,584.71
United Facility/Professional Facility Modifier Low / Median / High Price $2,031.00 / $4,840.00 / $10,931.00	Facility		$2,031.00	$4,840.00	$10,931.00
United Facility/Professional Professional Modifier Low / Median / High Price $524.82 / $848.59 / $2,029.87	Professional		$524.82	$848.59	$2,029.87
Univera Facility/Professional Facility Modifier Low / Median / High Price $709.81 / $709.81 / $2,035.59	Facility		$709.81	$709.81	$2,035.59
Univera Facility/Professional Professional Modifier Low / Median / High Price $441.96 / $784.40 / $1,544.93	Professional		$441.96	$784.40	$1,544.93