Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $577.23 / $4,258.00 / $10,965.00	Facility		$577.23	$4,258.00	$10,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $413.55 / $484.76 / $872.80	Professional		$413.55	$484.76	$872.80
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 $365.72 / $478.07 / $1,123.02	Professional		$365.72	$478.07	$1,123.02
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $631.37 / $2,390.00 / $10,957.50	Facility		$631.37	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $631.37 / $631.37 / $631.37	Professional		$631.37	$631.37	$631.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.45 / $501.45 / $501.45	Facility		$501.45	$501.45	$501.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $440.11 / $731.13 / $1,649.82	Professional		$440.11	$731.13	$1,649.82
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $324.00 / $475.15 / $1,162.01	Facility		$324.00	$475.15	$1,162.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $482.85 / $677.70 / $996.75	Professional		$482.85	$677.70	$996.75
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $414.64 / $414.64 / $414.64	Facility		$414.64	$414.64	$414.64
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $387.30 / $534.55 / $942.97	Professional		$387.30	$534.55	$942.97
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $501.45 / $555.00 / $597.00	Facility		$501.45	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $437.47 / $685.99 / $1,566.02	Professional		$437.47	$685.99	$1,566.02
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 $369.60 / $569.64 / $1,316.02	Professional		$369.60	$569.64	$1,316.02
Univera Facility/Professional Facility Modifier Low / Median / High Price $534.55 / $534.55 / $2,216.54	Facility		$534.55	$534.55	$2,216.54
Univera Facility/Professional Professional Modifier Low / Median / High Price $417.20 / $577.84 / $1,129.97	Professional		$417.20	$577.84	$1,129.97