Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.00 / $4,308.00 / $10,024.00	Facility		$645.00	$4,308.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $444.42 / $508.66 / $950.74	Professional		$444.42	$508.66	$950.74
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 $394.24 / $509.54 / $1,169.98	Professional		$394.24	$509.54	$1,169.98
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $689.16 / $1,990.00 / $8,917.50	Facility		$689.16	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $689.16 / $689.16 / $689.16	Professional		$689.16	$689.16	$689.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $559.46 / $559.46 / $559.46	Facility		$559.46	$559.46	$559.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $488.10 / $737.17 / $1,833.32	Professional		$488.10	$737.17	$1,833.32
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $699.00 / $1,318.30	Facility		$332.00	$699.00	$1,318.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $539.14 / $765.63 / $1,130.81	Professional		$539.14	$765.63	$1,130.81
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $462.98 / $462.98 / $462.98	Facility		$462.98	$462.98	$462.98
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $400.89 / $501.12 / $1,039.98	Professional		$400.89	$501.12	$1,039.98
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $559.46 / $597.00	Facility		$555.00	$559.46	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $505.25 / $735.76 / $1,695.17	Professional		$505.25	$735.76	$1,695.17
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,248.00 / $11,200.00	Facility		$2,264.00	$5,248.00	$11,200.00
United Facility/Professional Professional Modifier Low / Median / High Price $437.83 / $634.88 / $1,562.48	Professional		$437.83	$634.88	$1,562.48
Univera Facility/Professional Facility Modifier Low / Median / High Price $589.54 / $589.54 / $2,198.30	Facility		$589.54	$589.54	$2,198.30
Univera Facility/Professional Professional Modifier Low / Median / High Price $403.86 / $613.13 / $1,246.21	Professional		$403.86	$613.13	$1,246.21