Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $693.08 / $5,699.00 / $12,075.00	Facility		$693.08	$5,699.00	$12,075.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $439.25 / $652.13 / $979.43	Professional		$439.25	$652.13	$979.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,977.00 / $9,519.00 / $23,671.00	Facility		$4,977.00	$9,519.00	$23,671.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $569.48 / $699.76 / $1,571.24	Professional		$569.48	$699.76	$1,571.24
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $961.57 / $961.57 / $37,499.62	Facility		$961.57	$961.57	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $961.57 / $961.57 / $961.57	Professional		$961.57	$961.57	$961.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $857.83 / $857.83 / $7,227.90	Facility		$857.83	$857.83	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $679.39 / $679.39 / $679.39	Professional		$679.39	$679.39	$679.39
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $832.00 / $2,033.55	Facility		$319.00	$832.00	$2,033.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $870.14 / $1,061.26 / $1,563.57	Professional		$870.14	$1,061.26	$1,563.57
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $699.20 / $699.20 / $699.20	Facility		$699.20	$699.20	$699.20
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $595.94 / $880.11 / $1,499.77	Professional		$595.94	$880.11	$1,499.77
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $857.83 / $857.83 / $7,227.90	Facility		$857.83	$857.83	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $679.39 / $751.64 / $1,604.64	Professional		$679.39	$751.64	$1,604.64
United Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $4,194.00 / $9,020.04	Facility		$996.00	$4,194.00	$9,020.04
United Facility/Professional Professional Modifier Low / Median / High Price $584.92 / $824.74 / $1,879.33	Professional		$584.92	$824.74	$1,879.33
Univera Facility/Professional Facility Modifier Low / Median / High Price $802.16 / $802.16 / $802.16	Facility		$802.16	$802.16	$802.16
Univera Facility/Professional Professional Modifier Low / Median / High Price $607.66 / $802.16 / $1,506.16	Professional		$607.66	$802.16	$1,506.16