Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $642.71 / $3,951.00 / $10,170.00	Facility		$642.71	$3,951.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $430.93 / $527.73 / $1,205.72	Professional		$430.93	$527.73	$1,205.72
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 $363.18 / $474.75 / $1,079.11	Professional		$363.18	$474.75	$1,079.11
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $664.50 / $1,716.00 / $6,213.00	Facility		$664.50	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $664.50 / $664.50 / $664.50	Professional		$664.50	$664.50	$664.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $517.42 / $517.42 / $517.42	Facility		$517.42	$517.42	$517.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $432.38 / $723.18 / $1,893.71	Professional		$432.38	$723.18	$1,893.71
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $495.00 / $1,186.33	Facility		$332.00	$495.00	$1,186.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $537.77 / $713.91 / $1,017.61	Professional		$537.77	$713.91	$1,017.61
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $432.83 / $432.83 / $432.83	Facility		$432.83	$432.83	$432.83
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.26 / $455.40 / $973.12	Professional		$346.26	$455.40	$973.12
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $517.42 / $555.00 / $36,596.00	Facility		$517.42	$555.00	$36,596.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $472.11 / $715.18 / $1,819.40	Professional		$472.11	$715.18	$1,819.40
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 $416.95 / $632.96 / $1,611.77	Professional		$416.95	$632.96	$1,611.77
Univera Facility/Professional Facility Modifier Low / Median / High Price $535.76 / $535.76 / $1,977.00	Facility		$535.76	$535.76	$1,977.00
Univera Facility/Professional Professional Modifier Low / Median / High Price $346.26 / $593.50 / $1,166.08	Professional		$346.26	$593.50	$1,166.08