Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $420.24 / $3,103.00 / $8,125.00	Facility		$420.24	$3,103.00	$8,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $284.99 / $426.31 / $942.47	Professional		$284.99	$426.31	$942.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,263.00 / $5,196.00 / $11,909.00	Facility		$3,263.00	$5,196.00	$11,909.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $318.69 / $452.72 / $1,021.32	Professional		$318.69	$452.72	$1,021.32
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $463.86 / $1,716.00 / $6,213.00	Facility		$463.86	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $463.86 / $463.86 / $757.01	Professional		$463.86	$463.86	$757.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $560.46 / $560.46 / $560.46	Facility		$560.46	$560.46	$560.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $273.22 / $584.60 / $1,258.97	Professional		$273.22	$584.60	$1,258.97
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $237.00 / $356.66 / $882.36	Facility		$237.00	$356.66	$882.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $613.41 / $714.74 / $1,515.12	Professional		$613.41	$714.74	$1,515.12
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $376.70 / $499.34 / $977.93	Professional		$376.70	$499.34	$977.93
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $560.46 / $74,999.25	Facility		$555.00	$560.46	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $295.00 / $648.24 / $1,367.65	Professional		$295.00	$648.24	$1,367.65
United Facility/Professional Facility Modifier Low / Median / High Price $1,925.00 / $4,840.00 / $9,416.00	Facility		$1,925.00	$4,840.00	$9,416.00
United Facility/Professional Professional Modifier Low / Median / High Price $345.57 / $607.87 / $1,387.83	Professional		$345.57	$607.87	$1,387.83
Univera Facility/Professional Facility Modifier Low / Median / High Price $357.77 / $357.77 / $974.93	Facility		$357.77	$357.77	$974.93
Univera Facility/Professional Professional Modifier Low / Median / High Price $376.70 / $568.16 / $1,117.29	Professional		$376.70	$568.16	$1,117.29