Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $749.26 / $4,392.00 / $11,396.00	Facility		$749.26	$4,392.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $552.29 / $699.73 / $1,407.18	Professional		$552.29	$699.73	$1,407.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,046.00 / $7,264.00 / $12,538.00	Facility		$4,046.00	$7,264.00	$12,538.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $509.55 / $666.09 / $1,432.44	Professional		$509.55	$666.09	$1,432.44
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $895.09 / $895.09 / $8,917.50	Facility		$895.09	$895.09	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $895.09 / $895.09 / $895.09	Professional		$895.09	$895.09	$895.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $724.03 / $724.03 / $724.03	Facility		$724.03	$724.03	$724.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $591.65 / $945.57 / $2,785.96	Professional		$591.65	$945.57	$2,785.96
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $900.00 / $1,721.97	Facility		$332.00	$900.00	$1,721.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $690.63 / $995.33 / $1,477.07	Professional		$690.63	$995.33	$1,477.07
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $593.07 / $593.07 / $593.07	Facility		$593.07	$593.07	$593.07
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $498.91 / $625.65 / $1,336.94	Professional		$498.91	$625.65	$1,336.94
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $36,596.00	Facility		$555.00	$597.00	$36,596.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $645.11 / $967.62 / $2,551.67	Professional		$645.11	$967.62	$2,551.67
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,248.00 / $14,064.00	Facility		$2,264.00	$5,248.00	$14,064.00
United Facility/Professional Professional Modifier Low / Median / High Price $561.33 / $861.85 / $2,019.68	Professional		$561.33	$861.85	$2,019.68
Univera Facility/Professional Facility Modifier Low / Median / High Price $736.06 / $736.06 / $2,646.73	Facility		$736.06	$736.06	$2,646.73
Univera Facility/Professional Professional Modifier Low / Median / High Price $515.37 / $813.21 / $1,602.06	Professional		$515.37	$813.21	$1,602.06