Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $5,324.00 / $10,965.00	Facility		$1,819.00	$5,324.00	$10,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.73 / $1,090.93 / $1,381.18	Professional		$954.73	$1,090.93	$1,381.18
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 $875.32 / $1,086.99 / $1,752.91	Professional		$875.32	$1,086.99	$1,752.91
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,529.72 / $1,529.72 / $37,499.62	Facility		$1,529.72	$1,529.72	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,529.72 / $1,529.72 / $1,529.72	Professional		$1,529.72	$1,529.72	$1,529.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,239.46 / $1,239.46 / $1,239.46	Facility		$1,239.46	$1,239.46	$1,239.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,075.29 / $1,617.40 / $4,100.43	Professional		$1,075.29	$1,617.40	$4,100.43
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,300.00 / $2,883.06	Facility		$332.00	$1,300.00	$2,883.06
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $753.55 / $1,372.97 / $3,197.58	Professional		$753.55	$1,372.97	$3,197.58
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,747.31 / $1,747.31 / $1,747.31	Facility		$1,747.31	$1,747.31	$1,747.31
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $607.94 / $2,184.14 / $3,852.87	Professional		$607.94	$2,184.14	$3,852.87
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,239.46	Facility		$555.00	$597.00	$1,239.46
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $769.64 / $1,409.31 / $3,762.03	Professional		$769.64	$1,409.31	$3,762.03
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 $710.13 / $1,407.04 / $2,773.00	Professional		$710.13	$1,407.04	$2,773.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,184.14 / $2,184.14 / $5,428.21	Facility		$2,184.14	$2,184.14	$5,428.21
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,485.22 / $2,435.05 / $4,616.92	Professional		$1,485.22	$2,435.05	$4,616.92