Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $874.54 / $5,157.00 / $11,396.00	Facility		$874.54	$5,157.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $603.29 / $695.72 / $1,461.14	Professional		$603.29	$695.72	$1,461.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $5,434.00 / $12,168.00	Facility		$3,283.00	$5,434.00	$12,168.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $522.42 / $682.92 / $1,587.54	Professional		$522.42	$682.92	$1,587.54
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $942.12 / $942.12 / $37,499.62	Facility		$942.12	$942.12	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $942.12 / $942.12 / $942.12	Professional		$942.12	$942.12	$942.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $760.33 / $760.33 / $760.33	Facility		$760.33	$760.33	$760.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $665.27 / $1,006.42 / $2,519.98	Professional		$665.27	$1,006.42	$2,519.98
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $723.11 / $1,791.81	Facility		$332.00	$723.11	$1,791.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $733.07 / $1,040.23 / $1,536.97	Professional		$733.07	$1,040.23	$1,536.97
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $629.51 / $629.51 / $629.51	Facility		$629.51	$629.51	$629.51
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $544.71 / $802.10 / $1,414.92	Professional		$544.71	$802.10	$1,414.92
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $760.33	Facility		$555.00	$597.00	$760.33
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $661.16 / $1,006.42 / $2,332.29	Professional		$661.16	$1,006.42	$2,332.29
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 $608.23 / $837.70 / $2,144.50	Professional		$608.23	$837.70	$2,144.50
Univera Facility/Professional Facility Modifier Low / Median / High Price $802.10 / $802.10 / $2,450.98	Facility		$802.10	$802.10	$2,450.98
Univera Facility/Professional Professional Modifier Low / Median / High Price $545.42 / $877.29 / $1,695.50	Professional		$545.42	$877.29	$1,695.50