Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,055.89 / $4,392.00 / $10,024.00	Facility		$1,055.89	$4,392.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $777.42 / $889.47 / $1,662.51	Professional		$777.42	$889.47	$1,662.51
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 $672.67 / $879.32 / $2,055.91	Professional		$672.67	$879.32	$2,055.91
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,205.81 / $1,990.00 / $8,917.50	Facility		$1,205.81	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,205.81 / $1,205.81 / $1,205.81	Professional		$1,205.81	$1,205.81	$1,205.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $968.28 / $968.28 / $968.28	Facility		$968.28	$968.28	$968.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $854.05 / $1,285.84 / $3,221.18	Professional		$854.05	$1,285.84	$3,221.18
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,245.00 / $2,281.34	Facility		$332.00	$1,245.00	$2,281.34
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $933.68 / $1,324.46 / $1,956.88	Professional		$933.68	$1,324.46	$1,956.88
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $801.79 / $801.79 / $801.79	Facility		$801.79	$801.79	$801.79
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $695.73 / $1,022.41 / $1,804.83	Professional		$695.73	$1,022.41	$1,804.83
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $968.28	Facility		$555.00	$597.00	$968.28
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $880.91 / $1,285.84 / $2,979.88	Professional		$880.91	$1,285.84	$2,979.88
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 $758.26 / $1,065.27 / $2,732.41	Professional		$758.26	$1,065.27	$2,732.41
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,023.13 / $1,023.13 / $3,863.75	Facility		$1,023.13	$1,023.13	$3,863.75
Univera Facility/Professional Professional Modifier Low / Median / High Price $713.76 / $1,064.06 / $2,162.73	Professional		$713.76	$1,064.06	$2,162.73