Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,031.48 / $5,157.00 / $11,396.00	Facility		$1,031.48	$5,157.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $715.48 / $819.65 / $1,754.73	Professional		$715.48	$819.65	$1,754.73
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 $617.17 / $806.78 / $1,887.12	Professional		$617.17	$806.78	$1,887.12
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,109.70 / $1,109.70 / $8,917.50	Facility		$1,109.70	$1,109.70	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,109.70 / $1,109.70 / $1,109.70	Professional		$1,109.70	$1,109.70	$1,109.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $896.11 / $896.11 / $896.11	Facility		$896.11	$896.11	$896.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $787.08 / $1,182.58 / $2,963.97	Professional		$787.08	$1,182.58	$2,963.97
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,113.00 / $2,112.71	Facility		$332.00	$1,113.00	$2,112.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $863.74 / $1,226.45 / $1,812.23	Professional		$863.74	$1,226.45	$1,812.23
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.73 / $741.73 / $741.73	Facility		$741.73	$741.73	$741.73
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $642.64 / $803.30 / $1,667.10	Professional		$642.64	$803.30	$1,667.10
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $896.11	Facility		$555.00	$597.00	$896.11
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $779.23 / $1,182.58 / $2,745.34	Professional		$779.23	$1,182.58	$2,745.34
United Facility/Professional Facility Modifier Low / Median / High Price $2,337.00 / $6,949.96 / $13,746.00	Facility		$2,337.00	$6,949.96	$13,746.00
United Facility/Professional Professional Modifier Low / Median / High Price $716.11 / $1,035.69 / $2,561.25	Professional		$716.11	$1,035.69	$2,561.25
Univera Facility/Professional Facility Modifier Low / Median / High Price $945.06 / $945.06 / $2,754.28	Facility		$945.06	$945.06	$2,754.28
Univera Facility/Professional Professional Modifier Low / Median / High Price $649.82 / $1,033.68 / $1,997.70	Professional		$649.82	$1,033.68	$1,997.70