Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $581.35 / $4,039.00 / $10,170.00	Facility		$581.35	$4,039.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $408.80 / $581.35 / $994.36	Professional		$408.80	$581.35	$994.36
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 $467.85 / $591.04 / $1,275.81	Professional		$467.85	$591.04	$1,275.81
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $579.73 / $2,390.00 / $10,957.50	Facility		$579.73	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $579.73 / $579.73 / $812.72	Professional		$579.73	$579.73	$812.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $701.30 / $701.30 / $701.30	Facility		$701.30	$701.30	$701.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $423.85 / $729.77 / $1,791.42	Professional		$423.85	$729.77	$1,791.42
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $711.52 / $1,528.53	Facility		$332.00	$711.52	$1,528.53
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $616.49 / $845.52 / $1,237.40	Professional		$616.49	$845.52	$1,237.40
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $529.40 / $529.40 / $529.40	Facility		$529.40	$529.40	$529.40
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $481.13 / $579.86 / $1,203.40	Professional		$481.13	$579.86	$1,203.40
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $701.30	Facility		$555.00	$597.00	$701.30
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $464.12 / $804.71 / $1,782.61	Professional		$464.12	$804.71	$1,782.61
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 $518.63 / $720.31 / $1,778.17	Professional		$518.63	$720.31	$1,778.17
Univera Facility/Professional Facility Modifier Low / Median / High Price $496.60 / $496.60 / $2,131.40	Facility		$496.60	$496.60	$2,131.40
Univera Facility/Professional Professional Modifier Low / Median / High Price $505.38 / $737.78 / $1,203.40	Professional		$505.38	$737.78	$1,203.40