Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $769.03 / $4,972.00 / $13,229.00	Facility		$769.03	$4,972.00	$13,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $555.73 / $702.51 / $1,247.26	Professional		$555.73	$702.51	$1,247.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,385.00 / $4,133.00 / $9,074.00	Facility		$2,385.00	$4,133.00	$9,074.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $626.80 / $778.39 / $1,655.20	Professional		$626.80	$778.39	$1,655.20
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $777.66 / $3,478.50 / $13,477.50	Facility		$777.66	$3,478.50	$13,477.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $777.66 / $777.66 / $931.40	Professional		$777.66	$777.66	$931.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $902.78 / $902.78 / $902.78	Facility		$902.78	$902.78	$902.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $586.35 / $1,005.48 / $2,307.71	Professional		$586.35	$1,005.48	$2,307.71
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $783.00 / $1,373.78	Facility		$332.00	$783.00	$1,373.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $696.72 / $961.02 / $1,408.38	Professional		$696.72	$961.02	$1,408.38
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $598.29 / $598.29 / $598.29	Facility		$598.29	$598.29	$598.29
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $567.83 / $760.06 / $1,340.77	Professional		$567.83	$760.06	$1,340.77
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $902.78	Facility		$555.00	$597.00	$902.78
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $606.73 / $1,012.49 / $2,337.01	Professional		$606.73	$1,012.49	$2,337.01
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 $596.34 / $843.74 / $2,088.23	Professional		$596.34	$843.74	$2,088.23
Univera Facility/Professional Facility Modifier Low / Median / High Price $637.65 / $637.65 / $2,875.55	Facility		$637.65	$637.65	$2,875.55
Univera Facility/Professional Professional Modifier Low / Median / High Price $633.62 / $790.46 / $1,355.59	Professional		$633.62	$790.46	$1,355.59