Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $843.78 / $3,754.00 / $10,965.00	Facility		$843.78	$3,754.00	$10,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $663.39 / $757.18 / $1,454.24	Professional		$663.39	$757.18	$1,454.24
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 $578.14 / $755.74 / $1,760.90	Professional		$578.14	$755.74	$1,760.90
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,013.30 / $1,013.30 / $37,499.62	Facility		$1,013.30	$1,013.30	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,013.30 / $1,013.30 / $1,013.30	Professional		$1,013.30	$1,013.30	$1,013.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $823.20 / $823.20 / $823.20	Facility		$823.20	$823.20	$823.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $725.33 / $1,145.40 / $2,686.06	Professional		$725.33	$1,145.40	$2,686.06
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,035.00 / $1,936.13	Facility		$332.00	$1,035.00	$1,936.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $794.09 / $1,124.84 / $1,660.77	Professional		$794.09	$1,124.84	$1,660.77
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $681.91 / $681.91 / $681.91	Facility		$681.91	$681.91	$681.91
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.37 / $735.46 / $1,526.31	Professional		$588.37	$735.46	$1,526.31
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $823.20	Facility		$555.00	$597.00	$823.20
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $740.56 / $1,105.64 / $2,533.66	Professional		$740.56	$1,105.64	$2,533.66
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 $643.32 / $948.96 / $2,238.16	Professional		$643.32	$948.96	$2,238.16
Univera Facility/Professional Facility Modifier Low / Median / High Price $865.25 / $865.25 / $3,994.90	Facility		$865.25	$865.25	$3,994.90
Univera Facility/Professional Professional Modifier Low / Median / High Price $680.77 / $950.31 / $1,828.99	Professional		$680.77	$950.31	$1,828.99