Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $482.48 / $3,599.00 / $10,170.00	Facility		$482.48	$3,599.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $361.54 / $525.85 / $898.39	Professional		$361.54	$525.85	$898.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,385.00 / $4,133.00 / $9,074.00	Facility		$2,385.00	$4,133.00	$9,074.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $422.24 / $533.41 / $1,154.02	Professional		$422.24	$533.41	$1,154.02
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $513.12 / $2,390.00 / $10,957.50	Facility		$513.12	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $513.12 / $513.12 / $736.09	Professional		$513.12	$513.12	$736.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $621.90 / $621.90 / $621.90	Facility		$621.90	$621.90	$621.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $376.23 / $662.42 / $1,654.96	Professional		$376.23	$662.42	$1,654.96
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $632.14 / $1,393.82	Facility		$332.00	$632.14	$1,393.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $557.39 / $766.94 / $1,123.05	Professional		$557.39	$766.94	$1,123.05
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $478.65 / $478.65 / $478.65	Facility		$478.65	$478.65	$478.65
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $434.62 / $523.86 / $1,087.17	Professional		$434.62	$523.86	$1,087.17
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $621.90	Facility		$555.00	$597.00	$621.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $412.96 / $705.13 / $1,628.50	Professional		$412.96	$705.13	$1,628.50
United Facility/Professional Facility Modifier Low / Median / High Price $2,031.00 / $4,399.00 / $9,202.00	Facility		$2,031.00	$4,399.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $467.78 / $650.91 / $1,607.69	Professional		$467.78	$650.91	$1,607.69
Univera Facility/Professional Facility Modifier Low / Median / High Price $440.58 / $440.58 / $2,004.00	Facility		$440.58	$440.58	$2,004.00
Univera Facility/Professional Professional Modifier Low / Median / High Price $459.04 / $667.05 / $1,087.17	Professional		$459.04	$667.05	$1,087.17