Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $587.51 / $2,952.00 / $8,134.00	Facility		$587.51	$2,952.00	$8,134.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.18 / $616.63 / $1,132.46	Professional		$363.18	$616.63	$1,132.46
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 $489.08 / $621.16 / $1,437.18	Professional		$489.08	$621.16	$1,437.18
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $661.09 / $1,716.00 / $6,213.00	Facility		$661.09	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $661.09 / $661.09 / $1,089.83	Professional		$661.09	$661.09	$1,089.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $724.83 / $724.83 / $724.83	Facility		$724.83	$724.83	$724.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $445.15 / $859.15 / $2,113.94	Professional		$445.15	$859.15	$2,113.94
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $195.00 / $332.00 / $1,171.36	Facility		$195.00	$332.00	$1,171.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $769.41 / $1,086.71 / $1,597.35	Professional		$769.41	$1,086.71	$1,597.35
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $660.72 / $660.72 / $660.72	Facility		$660.72	$660.72	$660.72
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $535.03 / $739.56 / $1,534.82	Professional		$535.03	$739.56	$1,534.82
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $724.83	Facility		$555.00	$597.00	$724.83
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $452.47 / $918.93 / $2,111.02	Professional		$452.47	$918.93	$2,111.02
United Facility/Professional Facility Modifier Low / Median / High Price $1,768.00 / $3,961.00 / $8,312.00	Facility		$1,768.00	$3,961.00	$8,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $600.17 / $866.39 / $2,139.88	Professional		$600.17	$866.39	$2,139.88
Univera Facility/Professional Facility Modifier Low / Median / High Price $545.48 / $545.48 / $1,009.38	Facility		$545.48	$545.48	$1,009.38
Univera Facility/Professional Professional Modifier Low / Median / High Price $545.48 / $920.78 / $1,534.82	Professional		$545.48	$920.78	$1,534.82