Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $560.46 / $3,516.00 / $9,038.00	Facility		$560.46	$3,516.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $377.90 / $440.27 / $766.90	Professional		$377.90	$440.27	$766.90
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 $328.27 / $429.12 / $998.73	Professional		$328.27	$429.12	$998.73
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $595.00 / $1,254.00 / $4,050.00	Facility		$595.00	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $595.00 / $595.00 / $595.00	Professional		$595.00	$595.00	$595.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $485.07 / $485.07 / $485.07	Facility		$485.07	$485.07	$485.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $421.09 / $633.85 / $1,582.53	Professional		$421.09	$633.85	$1,582.53
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $580.00 / $1,142.34	Facility		$332.00	$580.00	$1,142.34
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $467.46 / $663.63 / $979.88	Professional		$467.46	$663.63	$979.88
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $401.42 / $401.42 / $401.42	Facility		$401.42	$401.42	$401.42
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $335.81 / $511.76 / $902.76	Professional		$335.81	$511.76	$902.76
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $485.07 / $555.00 / $597.00	Facility		$485.07	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $431.86 / $627.17 / $1,455.78	Professional		$431.86	$627.17	$1,455.78
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 $379.20 / $552.54 / $1,344.36	Professional		$379.20	$552.54	$1,344.36
Univera Facility/Professional Facility Modifier Low / Median / High Price $511.76 / $511.76 / $1,798.46	Facility		$511.76	$511.76	$1,798.46
Univera Facility/Professional Professional Modifier Low / Median / High Price $348.00 / $559.41 / $1,081.78	Professional		$348.00	$559.41	$1,081.78