Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $852.98 / $5,324.00 / $12,400.00	Facility		$852.98	$5,324.00	$12,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $596.66 / $702.83 / $1,531.24	Professional		$596.66	$702.83	$1,531.24
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 $549.38 / $718.15 / $1,677.03	Professional		$549.38	$718.15	$1,677.03
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $951.72 / $951.72 / $37,499.62	Facility		$951.72	$951.72	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $951.72 / $951.72 / $951.72	Professional		$951.72	$951.72	$951.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $768.89 / $768.89 / $768.89	Facility		$768.89	$768.89	$768.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $674.84 / $1,015.05 / $2,538.32	Professional		$674.84	$1,015.05	$2,538.32
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $608.00 / $1,813.32	Facility		$332.00	$608.00	$1,813.32
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $740.97 / $1,052.61 / $1,555.43	Professional		$740.97	$1,052.61	$1,555.43
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $636.29 / $636.29 / $636.29	Facility		$636.29	$636.29	$636.29
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $551.07 / $810.40 / $1,429.57	Professional		$551.07	$810.40	$1,429.57
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $768.89	Facility		$555.00	$597.00	$768.89
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $697.43 / $1,015.05 / $2,346.00	Professional		$697.43	$1,015.05	$2,346.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,380.00 / $4,893.00 / $10,617.00	Facility		$2,380.00	$4,893.00	$10,617.00
United Facility/Professional Professional Modifier Low / Median / High Price $599.25 / $871.31 / $2,158.75	Professional		$599.25	$871.31	$2,158.75
Univera Facility/Professional Facility Modifier Low / Median / High Price $810.40 / $810.40 / $3,106.92	Facility		$810.40	$810.40	$3,106.92
Univera Facility/Professional Professional Modifier Low / Median / High Price $571.22 / $886.75 / $1,713.06	Professional		$571.22	$886.75	$1,713.06