Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $484.91 / $2,626.00 / $8,442.00	Facility		$484.91	$2,626.00	$8,442.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $414.83 / $484.91 / $867.06	Professional		$414.83	$484.91	$867.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,385.00 / $4,133.00 / $9,074.00	Facility		$2,385.00	$4,133.00	$9,074.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $373.67 / $488.12 / $1,106.31	Professional		$373.67	$488.12	$1,106.31
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $629.89 / $1,716.00 / $6,213.00	Facility		$629.89	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $629.89 / $629.89 / $695.78	Professional		$629.89	$629.89	$695.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $768.83 / $768.83 / $768.83	Facility		$768.83	$768.83	$768.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $459.70 / $690.96 / $1,706.26	Professional		$459.70	$690.96	$1,706.26
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $545.91 / $1,228.30	Facility		$332.00	$545.91	$1,228.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $554.51 / $788.12 / $1,162.98	Professional		$554.51	$788.12	$1,162.98
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $476.18 / $476.18 / $476.18	Facility		$476.18	$476.18	$476.18
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $382.31 / $515.21 / $1,069.23	Professional		$382.31	$515.21	$1,069.23
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $768.83	Facility		$555.00	$597.00	$768.83
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $475.00 / $698.12 / $1,668.26	Professional		$475.00	$698.12	$1,668.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.00 / $3,496.00 / $6,201.00	Facility		$1,348.00	$3,496.00	$6,201.00
United Facility/Professional Professional Modifier Low / Median / High Price $428.51 / $620.64 / $1,556.40	Professional		$428.51	$620.64	$1,556.40
Univera Facility/Professional Facility Modifier Low / Median / High Price $548.48 / $548.48 / $1,806.55	Facility		$548.48	$548.48	$1,806.55
Univera Facility/Professional Professional Modifier Low / Median / High Price $412.17 / $663.60 / $1,166.02	Professional		$412.17	$663.60	$1,166.02