Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $780.60 / $4,392.00 / $10,024.00	Facility		$780.60	$4,392.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.03 / $623.07 / $1,306.35	Professional		$549.03	$623.07	$1,306.35
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 $465.76 / $608.84 / $1,433.45	Professional		$465.76	$608.84	$1,433.45
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $843.01 / $1,990.00 / $8,917.50	Facility		$843.01	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $843.01 / $843.01 / $843.01	Professional		$843.01	$843.01	$843.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $681.85 / $681.85 / $681.85	Facility		$681.85	$681.85	$681.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $594.61 / $929.15 / $2,248.61	Professional		$594.61	$929.15	$2,248.61
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $648.99 / $1,606.41	Facility		$332.00	$648.99	$1,606.41
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $657.25 / $932.88 / $1,377.94	Professional		$657.25	$932.88	$1,377.94
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $564.40 / $564.40 / $564.40	Facility		$564.40	$564.40	$564.40
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.27 / $719.52 / $1,269.25	Professional		$489.27	$719.52	$1,269.25
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $681.85	Facility		$555.00	$597.00	$681.85
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $617.85 / $908.50 / $2,073.06	Professional		$617.85	$908.50	$2,073.06
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 $527.51 / $767.74 / $1,908.93	Professional		$527.51	$767.74	$1,908.93
Univera Facility/Professional Facility Modifier Low / Median / High Price $719.52 / $719.52 / $2,949.58	Facility		$719.52	$719.52	$2,949.58
Univera Facility/Professional Professional Modifier Low / Median / High Price $523.59 / $748.30 / $1,520.95	Professional		$523.59	$748.30	$1,520.95