Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $853.28 / $3,797.00 / $10,296.00	Facility		$853.28	$3,797.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.74 / $738.98 / $1,342.87	Professional		$645.74	$738.98	$1,342.87
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 $574.42 / $750.90 / $1,686.86	Professional		$574.42	$750.90	$1,686.86
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $994.23 / $994.23 / $37,499.62	Facility		$994.23	$994.23	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $994.23 / $994.23 / $994.23	Professional		$994.23	$994.23	$994.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $801.63 / $801.63 / $801.63	Facility		$801.63	$801.63	$801.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $703.50 / $1,124.79 / $2,656.52	Professional		$703.50	$1,124.79	$2,656.52
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $890.00 / $1,889.28	Facility		$332.00	$890.00	$1,889.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $772.74 / $1,096.90 / $1,620.58	Professional		$772.74	$1,096.90	$1,620.58
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $663.58 / $663.58 / $663.58	Facility		$663.58	$663.58	$663.58
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.70 / $846.62 / $1,493.46	Professional		$575.70	$846.62	$1,493.46
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $801.63	Facility		$555.00	$597.00	$801.63
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $729.32 / $1,093.69 / $2,489.94	Professional		$729.32	$1,093.69	$2,489.94
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 $641.91 / $935.85 / $2,210.54	Professional		$641.91	$935.85	$2,210.54
Univera Facility/Professional Facility Modifier Low / Median / High Price $846.62 / $846.62 / $3,931.91	Facility		$846.62	$846.62	$3,931.91
Univera Facility/Professional Professional Modifier Low / Median / High Price $663.58 / $924.76 / $1,789.62	Professional		$663.58	$924.76	$1,789.62