Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $667.07 / $3,841.00 / $9,038.00	Facility		$667.07	$3,841.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $460.55 / $555.89 / $966.63	Professional		$460.55	$555.89	$966.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,248.00 / $5,196.00 / $11,909.00	Facility		$3,248.00	$5,196.00	$11,909.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $396.33 / $518.09 / $1,245.15	Professional		$396.33	$518.09	$1,245.15
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $716.08 / $1,716.00 / $6,213.00	Facility		$716.08	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $716.08 / $716.08 / $716.08	Professional		$716.08	$716.08	$716.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $576.10 / $576.10 / $576.10	Facility		$576.10	$576.10	$576.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $514.86 / $781.52 / $1,947.09	Professional		$514.86	$781.52	$1,947.09
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $546.50 / $1,368.43	Facility		$332.00	$546.50	$1,368.43
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $550.08 / $791.34 / $1,173.81	Professional		$550.08	$791.34	$1,173.81
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $472.37 / $472.37 / $472.37	Facility		$472.37	$472.37	$472.37
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $410.63 / $513.29 / $1,065.24	Professional		$410.63	$513.29	$1,065.24
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $576.10 / $597.00	Facility		$555.00	$576.10	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $527.27 / $775.31 / $1,797.81	Professional		$527.27	$775.31	$1,797.81
United Facility/Professional Facility Modifier Low / Median / High Price $2,031.00 / $4,840.00 / $9,416.00	Facility		$2,031.00	$4,840.00	$9,416.00
United Facility/Professional Professional Modifier Low / Median / High Price $448.75 / $666.78 / $1,603.65	Professional		$448.75	$666.78	$1,603.65
Univera Facility/Professional Facility Modifier Low / Median / High Price $603.87 / $603.87 / $2,413.17	Facility		$603.87	$603.87	$2,413.17
Univera Facility/Professional Professional Modifier Low / Median / High Price $442.30 / $628.02 / $1,276.48	Professional		$442.30	$628.02	$1,276.48