Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $941.14 / $4,392.00 / $10,024.00	Facility		$941.14	$4,392.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $670.72 / $770.87 / $1,437.35	Professional		$670.72	$770.87	$1,437.35
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 $580.55 / $758.91 / $1,772.67	Professional		$580.55	$758.91	$1,772.67
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,043.79 / $1,990.00 / $8,917.50	Facility		$1,043.79	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,043.79 / $1,043.79 / $1,043.79	Professional		$1,043.79	$1,043.79	$1,043.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.17 / $842.17 / $842.17	Facility		$842.17	$842.17	$842.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $739.89 / $1,108.86 / $2,786.55	Professional		$739.89	$1,108.86	$2,786.55
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $950.00 / $1,984.95	Facility		$332.00	$950.00	$1,984.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $811.82 / $1,152.41 / $1,702.65	Professional		$811.82	$1,152.41	$1,702.65
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $697.14 / $697.14 / $697.14	Facility		$697.14	$697.14	$697.14
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $568.16 / $755.73 / $1,568.38	Professional		$568.16	$755.73	$1,568.38
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $842.17	Facility		$555.00	$597.00	$842.17
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $765.05 / $1,108.27 / $2,575.88	Professional		$765.05	$1,108.27	$2,575.88
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 $674.19 / $955.10 / $2,403.16	Professional		$674.19	$955.10	$2,403.16
Univera Facility/Professional Facility Modifier Low / Median / High Price $889.09 / $889.09 / $3,239.36	Facility		$889.09	$889.09	$3,239.36
Univera Facility/Professional Professional Modifier Low / Median / High Price $604.58 / $924.66 / $1,879.40	Professional		$604.58	$924.66	$1,879.40