Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.27 / $5,202.00 / $12,266.00	Facility		$812.27	$5,202.00	$12,266.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $585.63 / $671.48 / $1,228.14	Professional		$585.63	$671.48	$1,228.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,977.00 / $9,808.00 / $16,411.00	Facility		$4,977.00	$9,808.00	$16,411.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.04 / $685.04 / $1,568.03	Professional		$524.04	$685.04	$1,568.03
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $908.99 / $2,644.00 / $12,319.50	Facility		$908.99	$2,644.00	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $908.99 / $908.99 / $908.99	Professional		$908.99	$908.99	$908.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $734.30 / $734.30 / $734.30	Facility		$734.30	$734.30	$734.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $641.52 / $967.40 / $2,426.35	Professional		$641.52	$967.40	$2,426.35
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $932.00 / $1,730.90	Facility		$332.00	$932.00	$1,730.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $707.73 / $1,004.95 / $1,484.73	Professional		$707.73	$1,004.95	$1,484.73
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $607.75 / $607.75 / $607.75	Facility		$607.75	$607.75	$607.75
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $526.52 / $658.15 / $1,365.86	Professional		$526.52	$658.15	$1,365.86
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $734.30	Facility		$555.00	$597.00	$734.30
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $663.76 / $967.40 / $2,233.23	Professional		$663.76	$967.40	$2,233.23
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,963.00 / $14,457.00	Facility		$2,264.00	$5,963.00	$14,457.00
United Facility/Professional Professional Modifier Low / Median / High Price $568.94 / $799.45 / $2,014.28	Professional		$568.94	$799.45	$2,014.28
Univera Facility/Professional Facility Modifier Low / Median / High Price $774.29 / $774.29 / $2,973.73	Facility		$774.29	$774.29	$2,973.73
Univera Facility/Professional Professional Modifier Low / Median / High Price $543.78 / $846.96 / $1,636.72	Professional		$543.78	$846.96	$1,636.72