Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.21 / $3,841.00 / $9,038.00	Facility		$812.21	$3,841.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $564.27 / $664.87 / $1,216.67	Professional		$564.27	$664.87	$1,216.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,749.00 / $9,877.00 / $16,490.00	Facility		$4,749.00	$9,877.00	$16,490.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $498.01 / $651.00 / $1,523.21	Professional		$498.01	$651.00	$1,523.21
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $900.35 / $1,716.00 / $6,213.00	Facility		$900.35	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $900.35 / $900.35 / $900.35	Professional		$900.35	$900.35	$900.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $726.86 / $726.86 / $726.86	Facility		$726.86	$726.86	$726.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $635.36 / $957.72 / $2,400.89	Professional		$635.36	$957.72	$2,400.89
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $691.71 / $1,712.97	Facility		$332.00	$691.71	$1,712.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $700.61 / $994.61 / $1,469.35	Professional		$700.61	$994.61	$1,469.35
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $601.64 / $601.64 / $601.64	Facility		$601.64	$601.64	$601.64
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $521.65 / $652.05 / $1,353.23	Professional		$521.65	$652.05	$1,353.23
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $726.86	Facility		$555.00	$597.00	$726.86
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $660.16 / $957.72 / $2,215.83	Professional		$660.16	$957.72	$2,215.83
United Facility/Professional Facility Modifier Low / Median / High Price $2,031.00 / $4,840.00 / $9,416.00	Facility		$2,031.00	$4,840.00	$9,416.00
United Facility/Professional Professional Modifier Low / Median / High Price $561.37 / $791.61 / $1,997.62	Professional		$561.37	$791.61	$1,997.62
Univera Facility/Professional Facility Modifier Low / Median / High Price $767.13 / $767.13 / $2,934.26	Facility		$767.13	$767.13	$2,934.26
Univera Facility/Professional Professional Modifier Low / Median / High Price $536.25 / $838.45 / $1,621.58	Professional		$536.25	$838.45	$1,621.58