Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $5,370.00 / $10,686.00	Facility		$1,819.00	$5,370.00	$10,686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $285.55 / $454.61 / $510.32	Professional		$285.55	$454.61	$510.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,989.00 / $9,750.00 / $16,411.00	Facility		$4,989.00	$9,750.00	$16,411.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.93 / $378.53 / $638.65	Professional		$316.93	$378.53	$638.65
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $5,511.50 / $5,511.50 / $16,534.50	Facility		$5,511.50	$5,511.50	$16,534.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $393.08 / $393.08 / $7,227.90	Facility		$393.08	$393.08	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $328.38 / $1,635.47 / $1,635.47	Professional		$328.38	$1,635.47	$1,635.47
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $38,357.00 / $47,648.00 / $71,078.00	Facility		$38,357.00	$47,648.00	$71,078.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $322.64 / $483.97 / $644.54	Professional		$322.64	$483.97	$644.54
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $393.08 / $597.00 / $74,999.25	Facility		$393.08	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $328.38 / $1,635.47 / $1,635.47	Professional		$328.38	$1,635.47	$1,635.47
United Facility/Professional Facility Modifier Low / Median / High Price $2,705.00 / $7,719.00 / $17,688.00	Facility		$2,705.00	$7,719.00	$17,688.00
United Facility/Professional Professional Modifier Low / Median / High Price $358.79 / $527.21 / $1,208.79	Professional		$358.79	$527.21	$1,208.79
Univera Facility/Professional Facility Modifier Low / Median / High Price $332.24 / $332.24 / $332.24	Facility		$332.24	$332.24	$332.24
Univera Facility/Professional Professional Modifier Low / Median / High Price $332.24 / $502.36 / $696.98	Professional		$332.24	$502.36	$696.98