Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,508.00 / $4,072.00 / $10,686.00	Facility		$1,508.00	$4,072.00	$10,686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.97 / $358.91 / $632.79	Professional		$224.97	$358.91	$632.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,051.00 / $9,301.00 / $15,887.00	Facility		$4,051.00	$9,301.00	$15,887.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $261.54 / $467.67	Professional		$0.02	$261.54	$467.67
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $37,499.62 / $37,499.62 / $37,499.62	Facility		$37,499.62	$37,499.62	$37,499.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $847.20 / $847.20 / $847.20	Facility		$847.20	$847.20	$847.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,526.70 / $3,526.70 / $3,526.70	Professional		$3,526.70	$3,526.70	$3,526.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $984.88 / $984.88 / $984.88	Professional		$984.88	$984.88	$984.88
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $695.68 / $695.68 / $695.68	Facility		$695.68	$695.68	$695.68
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $695.68 / $1,043.52 / $1,578.98	Professional		$695.68	$1,043.52	$1,578.98
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $847.20	Facility		$555.00	$597.00	$847.20
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $3,526.70 / $3,526.70 / $3,526.70	Professional		$3,526.70	$3,526.70	$3,526.70
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 $584.70 / $819.72 / $1,996.93	Professional		$584.70	$819.72	$1,996.93
Univera Facility/Professional Facility Modifier Low / Median / High Price $695.68 / $716.08 / $716.08	Facility		$695.68	$716.08	$716.08
Univera Facility/Professional Professional Modifier Low / Median / High Price $716.08 / $716.08 / $1,578.98	Professional		$716.08	$716.08	$1,578.98