Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.00 / $5,845.00 / $10,686.00	Facility		$1,548.00	$5,845.00	$10,686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.57 / $142.86 / $142.86	Professional		$135.57	$142.86	$142.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,382.00 / $4,707.00	Facility		$1,691.00	$3,382.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.04 / $90.05 / $192.80	Professional		$72.04	$90.05	$192.80
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,350.00 / $1,350.00 / $4,050.00	Facility		$1,350.00	$1,350.00	$4,050.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $211.02 / $211.02 / $211.02	Facility		$211.02	$211.02	$211.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.60 / $1,064.88 / $1,064.88	Professional		$101.60	$1,064.88	$1,064.88
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $461.96 / $919.17	Facility		$319.00	$461.96	$919.17
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $230.98 / $444.90 / $1,009.04	Professional		$230.98	$444.90	$1,009.04
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $306.08 / $412.46 / $727.59	Professional		$306.08	$412.46	$727.59
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $211.02 / $555.00 / $74,999.25	Facility		$211.02	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $101.60 / $1,064.88 / $1,064.88	Professional		$101.60	$1,064.88	$1,064.88
United Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,826.00 / $4,851.00	Facility		$964.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $221.93 / $396.36 / $834.26	Professional		$221.93	$396.36	$834.26
Univera Facility/Professional Facility Modifier Low / Median / High Price $329.97 / $329.97 / $330.30	Facility		$329.97	$329.97	$330.30
Univera Facility/Professional Professional Modifier Low / Median / High Price $329.97 / $330.30 / $727.59	Professional		$329.97	$330.30	$727.59