Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,119.36 / $4,629.00 / $10,674.00	Facility		$1,119.36	$4,629.00	$10,674.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $810.08 / $943.02 / $1,760.96	Professional		$810.08	$943.02	$1,760.96
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 $738.11 / $964.86 / $2,094.80	Professional		$738.11	$964.86	$2,094.80
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,276.99 / $2,390.00 / $10,957.50	Facility		$1,276.99	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,276.99 / $1,276.99 / $1,276.99	Professional		$1,276.99	$1,276.99	$1,276.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,027.05 / $1,027.05 / $1,027.05	Facility		$1,027.05	$1,027.05	$1,027.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $901.70 / $1,351.57 / $3,415.01	Professional		$901.70	$1,351.57	$3,415.01
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,060.00 / $2,420.53	Facility		$332.00	$1,060.00	$2,420.53
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $990.17 / $1,405.23 / $2,076.27	Professional		$990.17	$1,405.23	$2,076.27
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $850.29 / $850.29 / $850.29	Facility		$850.29	$850.29	$850.29
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $737.68 / $1,084.26 / $1,913.65	Professional		$737.68	$1,084.26	$1,913.65
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,027.05	Facility		$555.00	$597.00	$1,027.05
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $933.81 / $1,354.27 / $3,154.94	Professional		$933.81	$1,354.27	$3,154.94
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,963.00 / $14,457.00	Facility		$2,264.00	$5,963.00	$14,457.00
United Facility/Professional Professional Modifier Low / Median / High Price $799.43 / $1,114.98 / $2,646.15	Professional		$799.43	$1,114.98	$2,646.15
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,084.82 / $1,084.82 / $4,071.10	Facility		$1,084.82	$1,084.82	$4,071.10
Univera Facility/Professional Professional Modifier Low / Median / High Price $754.67 / $1,128.21 / $2,293.14	Professional		$754.67	$1,128.21	$2,293.14