Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $841.25 / $3,832.00 / $9,038.00	Facility		$841.25	$3,832.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $615.58 / $719.50 / $1,319.08	Professional		$615.58	$719.50	$1,319.08
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 $530.80 / $693.88 / $1,619.54	Professional		$530.80	$693.88	$1,619.54
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $970.24 / $1,716.00 / $6,213.00	Facility		$970.24	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $970.24 / $970.24 / $970.24	Professional		$970.24	$970.24	$970.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $789.73 / $789.73 / $789.73	Facility		$789.73	$789.73	$789.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $679.17 / $1,026.58 / $2,589.89	Professional		$679.17	$1,026.58	$2,589.89
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $840.00 / $1,860.66	Facility		$332.00	$840.00	$1,860.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $761.01 / $1,080.70 / $1,596.03	Professional		$761.01	$1,080.70	$1,596.03
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $653.50 / $653.50 / $653.50	Facility		$653.50	$653.50	$653.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $556.35 / $832.35 / $1,468.29	Professional		$556.35	$832.35	$1,468.29
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $789.73	Facility		$555.00	$597.00	$789.73
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $705.50 / $1,021.29 / $2,370.44	Professional		$705.50	$1,021.29	$2,370.44
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 $604.71 / $855.07 / $2,140.61	Professional		$604.71	$855.07	$2,140.61
Univera Facility/Professional Facility Modifier Low / Median / High Price $832.35 / $832.35 / $3,000.63	Facility		$832.35	$832.35	$3,000.63
Univera Facility/Professional Professional Modifier Low / Median / High Price $566.00 / $910.72 / $1,759.46	Professional		$566.00	$910.72	$1,759.46