Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,270.07 / $4,051.00 / $10,024.00	Facility		$1,270.07	$4,051.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $922.87 / $1,094.89 / $2,205.29	Professional		$922.87	$1,094.89	$2,205.29
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 $862.79 / $1,094.00 / $2,402.83	Professional		$862.79	$1,094.00	$2,402.83
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,457.74 / $2,644.00 / $12,319.50	Facility		$1,457.74	$2,644.00	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,457.74 / $1,457.74 / $1,457.74	Professional		$1,457.74	$1,457.74	$1,457.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,179.78 / $1,179.78 / $1,179.78	Facility		$1,179.78	$1,179.78	$1,179.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,013.98 / $1,559.55 / $3,759.50	Professional		$1,013.98	$1,559.55	$3,759.50
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $930.00 / $2,720.70	Facility		$332.00	$930.00	$2,720.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,106.89 / $1,584.95 / $2,333.76	Professional		$1,106.89	$1,584.95	$2,333.76
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $975.75 / $975.75 / $975.75	Facility		$975.75	$975.75	$975.75
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $835.64 / $1,241.68 / $2,190.35	Professional		$835.64	$1,241.68	$2,190.35
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,179.78	Facility		$555.00	$597.00	$1,179.78
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,026.16 / $1,533.11 / $3,553.53	Professional		$1,026.16	$1,533.11	$3,553.53
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $3,972.00 / $8,841.00	Facility		$2,264.00	$3,972.00	$8,841.00
United Facility/Professional Professional Modifier Low / Median / High Price $934.18 / $1,315.09 / $3,149.57	Professional		$934.18	$1,315.09	$3,149.57
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,241.68 / $1,241.68 / $2,876.02	Facility		$1,241.68	$1,241.68	$2,876.02
Univera Facility/Professional Professional Modifier Low / Median / High Price $844.34 / $1,359.81 / $2,624.71	Professional		$844.34	$1,359.81	$2,624.71