Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $5,601.00 / $11,220.00	Facility		$1,819.00	$5,601.00	$11,220.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $378.30 / $445.56 / $557.21	Professional		$378.30	$445.56	$557.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,263.00 / $5,184.00 / $11,809.00	Facility		$3,263.00	$5,184.00	$11,809.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $287.74 / $354.49 / $605.73	Professional		$287.74	$354.49	$605.73
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $474.26 / $5,064.50 / $15,193.50	Facility		$474.26	$5,064.50	$15,193.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $474.26 / $474.26 / $474.26	Professional		$474.26	$474.26	$474.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $828.88 / $828.88 / $7,227.90	Facility		$828.88	$828.88	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $771.67 / $3,140.04 / $3,140.04	Professional		$771.67	$3,140.04	$3,140.04
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,408.94 / $40,501.00	Facility		$319.00	$1,408.94	$40,501.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $696.75 / $1,152.77 / $1,991.04	Professional		$696.75	$1,152.77	$1,991.04
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $853.90 / $1,280.84 / $1,656.57	Professional		$853.90	$1,280.84	$1,656.57
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $828.88 / $74,999.25	Facility		$555.00	$828.88	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $771.67 / $3,140.04 / $3,140.04	Professional		$771.67	$3,140.04	$3,140.04
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,248.00 / $11,176.00	Facility		$2,264.00	$5,248.00	$11,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $356.51 / $506.30 / $1,188.33	Professional		$356.51	$506.30	$1,188.33
Univera Facility/Professional Facility Modifier Low / Median / High Price $853.90 / $853.90 / $853.90	Facility		$853.90	$853.90	$853.90
Univera Facility/Professional Professional Modifier Low / Median / High Price $853.90 / $1,308.27 / $1,791.35	Professional		$853.90	$1,308.27	$1,791.35