Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.19 / $4,629.00 / $10,674.00	Facility		$741.19	$4,629.00	$10,674.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $516.91 / $608.87 / $1,068.93	Professional		$516.91	$608.87	$1,068.93
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 $469.97 / $614.34 / $1,327.98	Professional		$469.97	$614.34	$1,327.98
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $822.40 / $822.40 / $10,957.50	Facility		$822.40	$822.40	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $822.40 / $822.40 / $822.40	Professional		$822.40	$822.40	$822.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $662.14 / $662.14 / $662.14	Facility		$662.14	$662.14	$662.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $567.90 / $862.45 / $2,143.02	Professional		$567.90	$862.45	$2,143.02
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $785.00 / $1,552.57	Facility		$332.00	$785.00	$1,552.57
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $639.34 / $902.91 / $1,331.76	Professional		$639.34	$902.91	$1,331.76
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.03 / $549.03 / $549.03	Facility		$549.03	$549.03	$549.03
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $452.39 / $699.54 / $1,234.00	Professional		$452.39	$699.54	$1,234.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $662.14	Facility		$555.00	$597.00	$662.14
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $588.61 / $865.67 / $2,004.04	Professional		$588.61	$865.67	$2,004.04
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,963.00 / $14,457.00	Facility		$2,264.00	$5,963.00	$14,457.00
United Facility/Professional Professional Modifier Low / Median / High Price $507.85 / $715.95 / $1,740.78	Professional		$507.85	$715.95	$1,740.78
Univera Facility/Professional Facility Modifier Low / Median / High Price $699.54 / $699.54 / $2,439.31	Facility		$699.54	$699.54	$2,439.31
Univera Facility/Professional Professional Modifier Low / Median / High Price $475.69 / $765.13 / $1,478.71	Professional		$475.69	$765.13	$1,478.71