Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $623.11 / $3,951.00 / $10,170.00	Facility		$623.11	$3,951.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $388.06 / $480.24 / $1,007.89	Professional		$388.06	$480.24	$1,007.89
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 $328.34 / $429.21 / $1,054.17	Professional		$328.34	$429.21	$1,054.17
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $628.97 / $1,716.00 / $6,213.00	Facility		$628.97	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $628.97 / $628.97 / $628.97	Professional		$628.97	$628.97	$628.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $525.24 / $525.24 / $525.24	Facility		$525.24	$525.24	$525.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $413.33 / $668.44 / $1,847.60	Professional		$413.33	$668.44	$1,847.60
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $630.00 / $1,289.66	Facility		$332.00	$630.00	$1,289.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $497.62 / $722.21 / $1,106.24	Professional		$497.62	$722.21	$1,106.24
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $427.33 / $427.33 / $427.33	Facility		$427.33	$427.33	$427.33
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $308.39 / $529.17 / $961.16	Professional		$308.39	$529.17	$961.16
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $525.24 / $555.00 / $36,596.00	Facility		$525.24	$555.00	$36,596.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $443.28 / $684.90 / $1,792.70	Professional		$443.28	$684.90	$1,792.70
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 $385.88 / $625.53 / $1,576.28	Professional		$385.88	$625.53	$1,576.28
Univera Facility/Professional Facility Modifier Low / Median / High Price $529.17 / $529.17 / $1,543.59	Facility		$529.17	$529.17	$1,543.59
Univera Facility/Professional Professional Modifier Low / Median / High Price $314.93 / $585.95 / $1,151.77	Professional		$314.93	$585.95	$1,151.77