Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,058.59 / $5,164.00 / $11,880.00	Facility		$1,058.59	$5,164.00	$11,880.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $728.94 / $882.47 / $1,656.66	Professional		$728.94	$882.47	$1,656.66
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 $611.44 / $799.28 / $1,883.00	Professional		$611.44	$799.28	$1,883.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,180.41 / $2,644.00 / $12,319.50	Facility		$1,180.41	$2,644.00	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,180.41 / $1,180.41 / $1,180.41	Professional		$1,180.41	$1,180.41	$1,180.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $940.62 / $940.62 / $940.62	Facility		$940.62	$940.62	$940.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $825.67 / $1,243.33 / $3,057.08	Professional		$825.67	$1,243.33	$3,057.08
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,370.00 / $2,205.61	Facility		$332.00	$1,370.00	$2,205.61
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $902.18 / $1,281.83 / $1,891.92	Professional		$902.18	$1,281.83	$1,891.92
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $774.74 / $774.74 / $774.74	Facility		$774.74	$774.74	$774.74
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $679.03 / $998.58 / $1,761.51	Professional		$679.03	$998.58	$1,761.51
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $940.62	Facility		$555.00	$597.00	$940.62
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $832.23 / $1,222.61 / $2,776.85	Professional		$832.23	$1,222.61	$2,776.85
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 $724.17 / $1,031.15 / $2,435.50	Professional		$724.17	$1,031.15	$2,435.50
Univera Facility/Professional Facility Modifier Low / Median / High Price $998.58 / $998.58 / $3,973.00	Facility		$998.58	$998.58	$3,973.00
Univera Facility/Professional Professional Modifier Low / Median / High Price $699.63 / $1,079.68 / $2,110.83	Professional		$699.63	$1,079.68	$2,110.83