Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.72 / $4,629.00 / $10,674.00	Facility		$933.72	$4,629.00	$10,674.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $652.38 / $754.96 / $1,288.80	Professional		$652.38	$754.96	$1,288.80
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 $513.04 / $670.65 / $1,701.99	Professional		$513.04	$670.65	$1,701.99
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $950.69 / $2,390.00 / $10,957.50	Facility		$950.69	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $950.69 / $950.69 / $950.69	Professional		$950.69	$950.69	$950.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $755.12 / $755.12 / $755.12	Facility		$755.12	$755.12	$755.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.74 / $1,102.39 / $2,480.53	Professional		$676.74	$1,102.39	$2,480.53
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $736.00 / $1,757.16	Facility		$332.00	$736.00	$1,757.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $730.68 / $1,024.70 / $1,507.25	Professional		$730.68	$1,024.70	$1,507.25
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $627.46 / $627.46 / $627.46	Facility		$627.46	$627.46	$627.46
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $609.03 / $804.59 / $1,419.32	Professional		$609.03	$804.59	$1,419.32
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $755.12	Facility		$555.00	$597.00	$755.12
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $657.97 / $1,027.17 / $2,416.92	Professional		$657.97	$1,027.17	$2,416.92
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 $577.23 / $820.89 / $1,978.26	Professional		$577.23	$820.89	$1,978.26
Univera Facility/Professional Facility Modifier Low / Median / High Price $804.59 / $804.59 / $2,573.30	Facility		$804.59	$804.59	$2,573.30
Univera Facility/Professional Professional Modifier Low / Median / High Price $667.70 / $874.43 / $1,700.78	Professional		$667.70	$874.43	$1,700.78