Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $745.06 / $4,039.00 / $10,170.00	Facility		$745.06	$4,039.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $573.78 / $721.77 / $1,286.78	Professional		$573.78	$721.77	$1,286.78
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 $602.04 / $747.64 / $1,688.29	Professional		$602.04	$747.64	$1,688.29
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $797.59 / $2,390.00 / $10,957.50	Facility		$797.59	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $797.59 / $797.59 / $948.47	Professional		$797.59	$797.59	$948.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $910.23 / $910.23 / $910.23	Facility		$910.23	$910.23	$910.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $568.46 / $996.08 / $2,335.08	Professional		$568.46	$996.08	$2,335.08
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $640.00 / $1,418.54	Facility		$332.00	$640.00	$1,418.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $705.94 / $982.00 / $1,440.78	Professional		$705.94	$982.00	$1,440.78
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $606.22 / $606.22 / $606.22	Facility		$606.22	$606.22	$606.22
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $583.98 / $772.10 / $1,362.01	Professional		$583.98	$772.10	$1,362.01
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $910.23	Facility		$555.00	$597.00	$910.23
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $623.65 / $1,002.56 / $2,363.78	Professional		$623.65	$1,002.56	$2,363.78
United Facility/Professional Facility Modifier Low / Median / High Price $2,062.00 / $5,299.00 / $9,783.50	Facility		$2,062.00	$5,299.00	$9,783.50
United Facility/Professional Professional Modifier Low / Median / High Price $575.91 / $829.90 / $2,046.15	Professional		$575.91	$829.90	$2,046.15
Univera Facility/Professional Facility Modifier Low / Median / High Price $653.25 / $653.25 / $1,775.00	Facility		$653.25	$653.25	$1,775.00
Univera Facility/Professional Professional Modifier Low / Median / High Price $596.54 / $844.83 / $1,388.75	Professional		$596.54	$844.83	$1,388.75