Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $587.54 / $3,419.00 / $9,267.00	Facility		$587.54	$3,419.00	$9,267.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $471.61 / $622.16 / $990.89	Professional		$471.61	$622.16	$990.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $3,373.00 / $4,707.00	Facility		$1,689.00	$3,373.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $441.97 / $560.41 / $1,333.21	Professional		$441.97	$560.41	$1,333.21
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $692.15 / $1,990.00 / $8,917.50	Facility		$692.15	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $692.15 / $692.15 / $853.53	Professional		$692.15	$692.15	$853.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $782.18 / $782.18 / $782.18	Facility		$782.18	$782.18	$782.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $490.95 / $787.74 / $1,928.05	Professional		$490.95	$787.74	$1,928.05
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $332.00 / $1,244.18	Facility		$130.00	$332.00	$1,244.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $637.25 / $893.08 / $1,311.45	Professional		$637.25	$893.08	$1,311.45
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $547.23 / $547.23 / $547.23	Facility		$547.23	$547.23	$547.23
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $444.33 / $598.69 / $1,242.47	Professional		$444.33	$598.69	$1,242.47
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $782.18	Facility		$555.00	$597.00	$782.18
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $498.40 / $819.59 / $1,946.36	Professional		$498.40	$819.59	$1,946.36
United Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,826.00 / $4,851.00	Facility		$964.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $491.09 / $714.78 / $1,685.49	Professional		$491.09	$714.78	$1,685.49
Univera Facility/Professional Facility Modifier Low / Median / High Price $574.03 / $574.03 / $1,346.12	Facility		$574.03	$574.03	$1,346.12
Univera Facility/Professional Professional Modifier Low / Median / High Price $478.95 / $762.63 / $1,242.47	Professional		$478.95	$762.63	$1,242.47