Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $992.46 / $3,797.00 / $10,296.00	Facility		$992.46	$3,797.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $760.39 / $970.82 / $1,772.98	Professional		$760.39	$970.82	$1,772.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $5,434.00 / $12,228.00	Facility		$3,283.00	$5,434.00	$12,228.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $766.00 / $971.28 / $1,938.86	Professional		$766.00	$971.28	$1,938.86
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,316.50 / $1,316.50 / $37,499.62	Facility		$1,316.50	$1,316.50	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,316.50 / $1,316.50 / $1,316.50	Professional		$1,316.50	$1,316.50	$1,316.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,056.80 / $1,056.80 / $1,056.80	Facility		$1,056.80	$1,056.80	$1,056.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $889.40 / $1,279.51 / $3,503.42	Professional		$889.40	$1,279.51	$3,503.42
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,044.75 / $2,491.96	Facility		$332.00	$1,044.75	$2,491.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,018.82 / $1,395.50 / $2,137.55	Professional		$1,018.82	$1,395.50	$2,137.55
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $874.90 / $874.90 / $874.90	Facility		$874.90	$874.90	$874.90
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $662.15 / $1,115.47 / $1,967.72	Professional		$662.15	$1,115.47	$1,967.72
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,056.80	Facility		$555.00	$597.00	$1,056.80
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $931.12 / $1,338.14 / $3,213.53	Professional		$931.12	$1,338.14	$3,213.53
United Facility/Professional Facility Modifier Low / Median / High Price $2,341.00 / $6,700.00 / $16,782.00	Facility		$2,341.00	$6,700.00	$16,782.00
United Facility/Professional Professional Modifier Low / Median / High Price $826.11 / $1,152.35 / $2,811.29	Professional		$826.11	$1,152.35	$2,811.29
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,115.47 / $1,115.47 / $3,586.54	Facility		$1,115.47	$1,115.47	$3,586.54
Univera Facility/Professional Professional Modifier Low / Median / High Price $697.49 / $1,219.25 / $2,357.92	Professional		$697.49	$1,219.25	$2,357.92