Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $600.53 / $4,392.00 / $11,396.00	Facility		$600.53	$4,392.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $452.28 / $596.41 / $1,153.07	Professional		$452.28	$596.41	$1,153.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,133.00 / $8,836.00	Facility		$2,393.00	$4,133.00	$8,836.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $417.82 / $546.17 / $1,226.98	Professional		$417.82	$546.17	$1,226.98
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $732.14 / $732.14 / $37,499.62	Facility		$732.14	$732.14	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $732.14 / $732.14 / $732.14	Professional		$732.14	$732.14	$732.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $592.54 / $592.54 / $592.54	Facility		$592.54	$592.54	$592.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $485.90 / $779.65 / $2,215.90	Professional		$485.90	$779.65	$2,215.90
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $700.00 / $1,412.19	Facility		$332.00	$700.00	$1,412.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $619.91 / $817.22 / $1,211.34	Professional		$619.91	$817.22	$1,211.34
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $486.44 / $486.44 / $486.44	Facility		$486.44	$486.44	$486.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.15 / $603.32 / $1,095.83	Professional		$389.15	$603.32	$1,095.83
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $592.54 / $36,596.00	Facility		$555.00	$592.54	$36,596.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $522.74 / $804.06 / $2,101.87	Professional		$522.74	$804.06	$2,101.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $4,194.00 / $9,603.00	Facility		$1,749.00	$4,194.00	$9,603.00
United Facility/Professional Professional Modifier Low / Median / High Price $459.51 / $704.45 / $1,736.73	Professional		$459.51	$704.45	$1,736.73
Univera Facility/Professional Facility Modifier Low / Median / High Price $603.32 / $603.32 / $1,988.84	Facility		$603.32	$603.32	$1,988.84
Univera Facility/Professional Professional Modifier Low / Median / High Price $422.43 / $667.01 / $1,313.15	Professional		$422.43	$667.01	$1,313.15