Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $683.20 / $3,951.00 / $10,170.00	Facility		$683.20	$3,951.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $424.00 / $569.91 / $1,125.02	Professional		$424.00	$569.91	$1,125.02
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 $368.04 / $481.11 / $1,179.43	Professional		$368.04	$481.11	$1,179.43
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $700.84 / $1,716.00 / $6,213.00	Facility		$700.84	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $700.84 / $700.84 / $700.84	Professional		$700.84	$700.84	$700.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $582.90 / $582.90 / $582.90	Facility		$582.90	$582.90	$582.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $475.44 / $774.05 / $2,041.84	Professional		$475.44	$774.05	$2,041.84
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $675.00 / $1,433.43	Facility		$332.00	$675.00	$1,433.43
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $552.01 / $802.72 / $1,229.56	Professional		$552.01	$802.72	$1,229.56
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $474.03 / $474.03 / $474.03	Facility		$474.03	$474.03	$474.03
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $351.44 / $588.12 / $1,068.22	Professional		$351.44	$588.12	$1,068.22
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $582.90 / $36,596.00	Facility		$555.00	$582.90	$36,596.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $506.87 / $777.19 / $2,026.85	Professional		$506.87	$777.19	$2,026.85
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 $431.45 / $698.04 / $1,645.43	Professional		$431.45	$698.04	$1,645.43
Univera Facility/Professional Facility Modifier Low / Median / High Price $588.12 / $588.12 / $1,767.15	Facility		$588.12	$588.12	$1,767.15
Univera Facility/Professional Professional Modifier Low / Median / High Price $351.44 / $649.99 / $1,280.05	Professional		$351.44	$649.99	$1,280.05