Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $840.41 / $3,841.00 / $9,038.00	Facility		$840.41	$3,841.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $586.71 / $695.43 / $1,440.63	Professional		$586.71	$695.43	$1,440.63
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 $493.09 / $644.57 / $1,545.43	Professional		$493.09	$644.57	$1,545.43
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $897.45 / $1,716.00 / $6,213.00	Facility		$897.45	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $897.45 / $897.45 / $897.45	Professional		$897.45	$897.45	$897.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $728.34 / $728.34 / $728.34	Facility		$728.34	$728.34	$728.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $646.71 / $1,024.01 / $2,393.27	Professional		$646.71	$1,024.01	$2,393.27
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $800.00 / $1,715.90	Facility		$332.00	$800.00	$1,715.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $701.96 / $996.58 / $1,471.86	Professional		$701.96	$996.58	$1,471.86
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $602.79 / $602.79 / $602.79	Facility		$602.79	$602.79	$602.79
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $522.33 / $768.13 / $1,354.99	Professional		$522.33	$768.13	$1,354.99
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $728.34	Facility		$555.00	$597.00	$728.34
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $656.47 / $998.92 / $2,246.09	Professional		$656.47	$998.92	$2,246.09
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 $568.62 / $841.17 / $1,941.32	Professional		$568.62	$841.17	$1,941.32
Univera Facility/Professional Facility Modifier Low / Median / High Price $768.13 / $768.13 / $3,877.62	Facility		$768.13	$768.13	$3,877.62
Univera Facility/Professional Professional Modifier Low / Median / High Price $602.79 / $840.06 / $1,623.70	Professional		$602.79	$840.06	$1,623.70