Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $721.99 / $2,865.00 / $10,152.00	Facility		$721.99	$2,865.00	$10,152.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $545.84 / $760.80 / $1,640.97	Professional		$545.84	$760.80	$1,640.97
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 $591.39 / $752.57 / $1,674.38	Professional		$591.39	$752.57	$1,674.38
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $933.96 / $933.96 / $8,917.50	Facility		$933.96	$933.96	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $933.96 / $933.96 / $1,221.38	Professional		$933.96	$933.96	$1,221.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,113.94 / $1,113.94 / $1,113.94	Facility		$1,113.94	$1,113.94	$1,113.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $484.70 / $980.61 / $2,191.69	Professional		$484.70	$980.61	$2,191.69
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $706.12 / $1,713.98	Facility		$332.00	$706.12	$1,713.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $988.83 / $1,146.15 / $2,398.35	Professional		$988.83	$1,146.15	$2,398.35
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $665.54 / $839.35 / $1,570.47	Professional		$665.54	$839.35	$1,570.47
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,113.94 / $74,999.25	Facility		$555.00	$1,113.94	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $522.58 / $1,085.05 / $2,331.19	Professional		$522.58	$1,085.05	$2,331.19
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 $533.10 / $960.27 / $2,131.64	Professional		$533.10	$960.27	$2,131.64
Univera Facility/Professional Facility Modifier Low / Median / High Price $715.13 / $715.13 / $1,969.37	Facility		$715.13	$715.13	$1,969.37
Univera Facility/Professional Professional Modifier Low / Median / High Price $665.54 / $912.44 / $2,001.74	Professional		$665.54	$912.44	$2,001.74