Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $720.09 / $2,952.00 / $8,134.00	Facility		$720.09	$2,952.00	$8,134.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $573.41 / $734.74 / $1,287.51	Professional		$573.41	$734.74	$1,287.51
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 $522.97 / $663.12 / $1,590.94	Professional		$522.97	$663.12	$1,590.94
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $848.98 / $1,716.00 / $6,213.00	Facility		$848.98	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $848.98 / $848.98 / $1,019.43	Professional		$848.98	$848.98	$1,019.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $959.91 / $959.91 / $959.91	Facility		$959.91	$959.91	$959.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $598.64 / $935.39 / $2,308.50	Professional		$598.64	$935.39	$2,308.50
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $627.41 / $1,526.31	Facility		$332.00	$627.41	$1,526.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $816.55 / $1,104.73 / $1,575.94	Professional		$816.55	$1,104.73	$1,575.94
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $657.58 / $657.58 / $657.58	Facility		$657.58	$657.58	$657.58
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $526.05 / $717.56 / $1,489.17	Professional		$526.05	$717.56	$1,489.17
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $959.91	Facility		$555.00	$597.00	$959.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $607.97 / $974.58 / $2,301.15	Professional		$607.97	$974.58	$2,301.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,883.00 / $3,670.00 / $7,355.00	Facility		$1,883.00	$3,670.00	$7,355.00
United Facility/Professional Professional Modifier Low / Median / High Price $593.86 / $867.00 / $2,113.38	Professional		$593.86	$867.00	$2,113.38
Univera Facility/Professional Facility Modifier Low / Median / High Price $702.43 / $702.43 / $1,942.72	Facility		$702.43	$702.43	$1,942.72
Univera Facility/Professional Professional Modifier Low / Median / High Price $574.04 / $916.41 / $1,493.31	Professional		$574.04	$916.41	$1,493.31