Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $479.14 / $2,884.50 / $9,038.00	Facility		$479.14	$2,884.50	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $347.26 / $539.66 / $914.30	Professional		$347.26	$539.66	$914.30
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 $435.93 / $553.66 / $1,212.31	Professional		$435.93	$553.66	$1,212.31
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $503.03 / $1,716.00 / $6,213.00	Facility		$503.03	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $503.03 / $503.03 / $772.31	Professional		$503.03	$503.03	$772.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $591.71 / $591.71 / $591.71	Facility		$591.71	$591.71	$591.71
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $59.17 / $59.17 / $59.17	Facility	AS	$59.17	$59.17	$59.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $378.72 / $677.94 / $1,661.43	Professional		$378.72	$677.94	$1,661.43
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $607.85 / $1,024.00	Facility		$332.00	$607.85	$1,024.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $559.45 / $782.51 / $1,149.91	Professional		$559.45	$782.51	$1,149.91
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $480.42 / $480.42 / $480.42	Facility		$480.42	$480.42	$480.42
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $455.14 / $532.60 / $1,105.32	Professional		$455.14	$532.60	$1,105.32
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $591.71 / $597.00	Facility		$555.00	$591.71	$597.00
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $59.17 / $59.17 / $59.17	Facility	AS	$59.17	$59.17	$59.17
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $406.09 / $725.92 / $1,702.72	Professional		$406.09	$725.92	$1,702.72
United Facility/Professional Facility Modifier Low / Median / High Price $2,031.00 / $4,840.00 / $9,416.00	Facility		$2,031.00	$4,840.00	$9,416.00
United Facility/Professional Professional Modifier Low / Median / High Price $454.35 / $643.11 / $1,674.08	Professional		$454.35	$643.11	$1,674.08
Univera Facility/Professional Facility Modifier Low / Median / High Price $424.02 / $424.02 / $1,786.54	Facility		$424.02	$424.02	$1,786.54
Univera Facility/Professional Professional Modifier Low / Median / High Price $459.88 / $669.51 / $1,105.32	Professional		$459.88	$669.51	$1,105.32