Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $601.30 / $3,100.00 / $9,038.00	Facility		$601.30	$3,100.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $445.29 / $579.08 / $975.31	Professional		$445.29	$579.08	$975.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,046.00 / $7,264.00 / $12,538.00	Facility		$4,046.00	$7,264.00	$12,538.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.28 / $622.50 / $1,337.21	Professional		$501.28	$622.50	$1,337.21
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $613.71 / $1,716.00 / $6,213.00	Facility		$613.71	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $613.71 / $613.71 / $772.70	Professional		$613.71	$613.71	$772.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $737.77 / $737.77 / $737.77	Facility		$737.77	$737.77	$737.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $451.57 / $792.94 / $1,875.73	Professional		$451.57	$792.94	$1,875.73
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $520.00 / $1,138.01	Facility		$332.00	$520.00	$1,138.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $598.28 / $831.60 / $1,220.38	Professional		$598.28	$831.60	$1,220.38
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $513.77 / $513.77 / $513.77	Facility		$513.77	$513.77	$513.77
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $480.66 / $570.19 / $1,134.80	Professional		$480.66	$570.19	$1,134.80
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $737.77	Facility		$555.00	$597.00	$737.77
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $454.14 / $814.11 / $1,922.75	Professional		$454.14	$814.11	$1,922.75
United Facility/Professional Facility Modifier Low / Median / High Price $2,031.00 / $4,840.00 / $9,416.00	Facility		$2,031.00	$4,840.00	$9,416.00
United Facility/Professional Professional Modifier Low / Median / High Price $486.43 / $696.13 / $1,729.85	Professional		$486.43	$696.13	$1,729.85
Univera Facility/Professional Facility Modifier Low / Median / High Price $516.54 / $516.54 / $2,061.37	Facility		$516.54	$516.54	$2,061.37
Univera Facility/Professional Professional Modifier Low / Median / High Price $491.45 / $715.99 / $1,134.80	Professional		$491.45	$715.99	$1,134.80