Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,297.01 / $4,308.00 / $10,024.00	Facility		$1,297.01	$4,308.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $934.17 / $1,116.93 / $2,129.62	Professional		$934.17	$1,116.93	$2,129.62
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 $783.65 / $1,024.38 / $2,391.01	Professional		$783.65	$1,024.38	$2,391.01
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,490.82 / $1,990.00 / $8,917.50	Facility		$1,490.82	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,490.82 / $1,490.82 / $1,490.82	Professional		$1,490.82	$1,490.82	$1,490.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,203.36 / $1,203.36 / $1,203.36	Facility		$1,203.36	$1,203.36	$1,203.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,054.51 / $1,509.49 / $3,871.21	Professional		$1,054.51	$1,509.49	$3,871.21
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,452.00 / $2,835.29	Facility		$332.00	$1,452.00	$2,835.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,159.88 / $1,646.51 / $2,432.05	Professional		$1,159.88	$1,646.51	$2,432.05
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $996.04 / $996.04 / $996.04	Facility		$996.04	$996.04	$996.04
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $829.78 / $1,084.23 / $2,250.12	Professional		$829.78	$1,084.23	$2,250.12
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,203.36	Facility		$555.00	$597.00	$1,203.36
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,067.89 / $1,580.64 / $3,568.94	Professional		$1,067.89	$1,580.64	$3,568.94
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 $930.74 / $1,267.68 / $3,112.21	Professional		$930.74	$1,267.68	$3,112.21
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,275.56 / $1,275.56 / $4,581.52	Facility		$1,275.56	$1,275.56	$4,581.52
Univera Facility/Professional Professional Modifier Low / Median / High Price $829.78 / $1,326.58 / $2,696.33	Professional		$829.78	$1,326.58	$2,696.33