Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $825.77 / $5,202.00 / $11,996.00	Facility		$825.77	$5,202.00	$11,996.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $559.59 / $652.57 / $1,217.17	Professional		$559.59	$652.57	$1,217.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,749.00 / $9,877.00 / $16,490.00	Facility		$4,749.00	$9,877.00	$16,490.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $508.96 / $665.31 / $1,519.72	Professional		$508.96	$665.31	$1,519.72
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $883.11 / $2,644.00 / $12,319.50	Facility		$883.11	$2,644.00	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $883.11 / $883.11 / $883.11	Professional		$883.11	$883.11	$883.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $716.07 / $716.07 / $716.07	Facility		$716.07	$716.07	$716.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $624.89 / $942.22 / $2,352.88	Professional		$624.89	$942.22	$2,352.88
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $681.69 / $1,687.21	Facility		$332.00	$681.69	$1,687.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $690.15 / $979.82 / $1,447.25	Professional		$690.15	$979.82	$1,447.25
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $592.66 / $592.66 / $592.66	Facility		$592.66	$592.66	$592.66
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $513.46 / $755.09 / $1,332.00	Professional		$513.46	$755.09	$1,332.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $716.07	Facility		$555.00	$597.00	$716.07
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $642.66 / $933.52 / $2,171.08	Professional		$642.66	$933.52	$2,171.08
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,248.00 / $11,200.00	Facility		$2,264.00	$5,248.00	$11,200.00
United Facility/Professional Professional Modifier Low / Median / High Price $558.71 / $813.01 / $1,974.67	Professional		$558.71	$813.01	$1,974.67
Univera Facility/Professional Facility Modifier Low / Median / High Price $755.09 / $755.09 / $2,846.40	Facility		$755.09	$755.09	$2,846.40
Univera Facility/Professional Professional Modifier Low / Median / High Price $522.78 / $825.93 / $1,596.14	Professional		$522.78	$825.93	$1,596.14