Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $548.54 / $4,051.00 / $10,024.00	Facility		$548.54	$4,051.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $390.32 / $475.01 / $968.74	Professional		$390.32	$475.01	$968.74
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 $335.10 / $438.05 / $1,113.05	Professional		$335.10	$438.05	$1,113.05
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $680.77 / $1,990.00 / $8,917.50	Facility		$680.77	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $680.77 / $680.77 / $680.77	Professional		$680.77	$680.77	$680.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $469.44 / $469.44 / $469.44	Facility		$469.44	$469.44	$469.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $427.35 / $717.24 / $1,674.00	Professional		$427.35	$717.24	$1,674.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $443.04 / $1,075.23	Facility		$300.00	$443.04	$1,075.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $457.61 / $629.32 / $922.31	Professional		$457.61	$629.32	$922.31
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $392.97 / $392.97 / $392.97	Facility		$392.97	$392.97	$392.97
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $376.60 / $497.91 / $878.32	Professional		$376.60	$497.91	$878.32
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $469.44 / $555.00 / $597.00	Facility		$469.44	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $450.82 / $712.04 / $1,637.92	Professional		$450.82	$712.04	$1,637.92
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 $417.70 / $592.28 / $1,480.53	Professional		$417.70	$592.28	$1,480.53
Univera Facility/Professional Facility Modifier Low / Median / High Price $497.91 / $497.91 / $2,133.26	Facility		$497.91	$497.91	$2,133.26
Univera Facility/Professional Professional Modifier Low / Median / High Price $399.27 / $547.64 / $1,052.50	Professional		$399.27	$547.64	$1,052.50