Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $518.59 / $5,411.00 / $10,686.00	Facility		$518.59	$5,411.00	$10,686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $291.54 / $428.97 / $518.59	Professional		$291.54	$428.97	$518.59
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 $137.30 / $161.54 / $262.43	Professional		$137.30	$161.54	$262.43
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
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $376.42 / $376.42 / $376.42	Facility		$376.42	$376.42	$376.42
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $387.58 / $543.92 / $840.65	Professional		$387.58	$543.92	$840.65
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $74,999.25	Facility		$555.00	$597.00	$74,999.25
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 $359.45 / $492.26 / $1,115.95	Professional		$359.45	$492.26	$1,115.95
Univera Facility/Professional Facility Modifier Low / Median / High Price $376.42 / $387.58 / $387.58	Facility		$376.42	$387.58	$387.58
Univera Facility/Professional Professional Modifier Low / Median / High Price $387.58 / $387.58 / $813.08	Professional		$387.58	$387.58	$813.08