Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,065.96 / $4,441.00 / $10,170.00	Facility		$1,065.96	$4,441.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $765.37 / $914.40 / $1,685.19	Professional		$765.37	$914.40	$1,685.19
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 $645.19 / $831.44 / $1,985.93	Professional		$645.19	$831.44	$1,985.93
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,224.31 / $1,990.00 / $8,917.50	Facility		$1,224.31	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,224.31 / $1,224.31 / $1,224.31	Professional		$1,224.31	$1,224.31	$1,224.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $974.93 / $974.93 / $974.93	Facility		$974.93	$974.93	$974.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $856.91 / $1,295.39 / $3,172.70	Professional		$856.91	$1,295.39	$3,172.70
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,170.00 / $2,286.44	Facility		$332.00	$1,170.00	$2,286.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $935.20 / $1,328.68 / $1,961.27	Professional		$935.20	$1,328.68	$1,961.27
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $803.09 / $803.09 / $803.09	Facility		$803.09	$803.09	$803.09
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $703.82 / $1,024.07 / $1,825.83	Professional		$703.82	$1,024.07	$1,825.83
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $974.93	Facility		$555.00	$597.00	$974.93
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $863.77 / $1,271.72 / $2,894.21	Professional		$863.77	$1,271.72	$2,894.21
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 $752.62 / $1,062.00 / $2,557.78	Professional		$752.62	$1,062.00	$2,557.78
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,035.04 / $1,035.04 / $4,083.22	Facility		$1,035.04	$1,035.04	$4,083.22
Univera Facility/Professional Professional Modifier Low / Median / High Price $722.23 / $1,076.44 / $2,187.90	Professional		$722.23	$1,076.44	$2,187.90