Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,119.33 / $4,308.00 / $10,024.00	Facility		$1,119.33	$4,308.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $797.98 / $961.37 / $1,632.51	Professional		$797.98	$961.37	$1,632.51
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 $672.67 / $879.32 / $2,068.26	Professional		$672.67	$879.32	$2,068.26
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,287.67 / $1,990.00 / $8,917.50	Facility		$1,287.67	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,287.67 / $1,287.67 / $1,287.67	Professional		$1,287.67	$1,287.67	$1,287.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,025.26 / $1,025.26 / $1,025.26	Facility		$1,025.26	$1,025.26	$1,025.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $902.38 / $1,362.77 / $3,335.56	Professional		$902.38	$1,362.77	$3,335.56
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,040.00 / $2,402.69	Facility		$332.00	$1,040.00	$2,402.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $983.02 / $1,396.18 / $2,060.96	Professional		$983.02	$1,396.18	$2,060.96
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $844.15 / $844.15 / $844.15	Facility		$844.15	$844.15	$844.15
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $740.16 / $1,088.46 / $1,920.08	Professional		$740.16	$1,088.46	$1,920.08
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,025.26	Facility		$555.00	$597.00	$1,025.26
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $909.33 / $1,345.37 / $3,046.36	Professional		$909.33	$1,345.37	$3,046.36
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,248.00 / $11,200.00	Facility		$2,264.00	$5,248.00	$11,200.00
United Facility/Professional Professional Modifier Low / Median / High Price $792.44 / $1,088.33 / $2,698.11	Professional		$792.44	$1,088.33	$2,698.11
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,088.46 / $1,088.46 / $4,285.75	Facility		$1,088.46	$1,088.46	$4,285.75
Univera Facility/Professional Professional Modifier Low / Median / High Price $759.12 / $1,176.40 / $2,300.84	Professional		$759.12	$1,176.40	$2,300.84