Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $717.96 / $4,441.00 / $10,152.00	Facility		$717.96	$4,441.00	$10,152.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $482.97 / $568.76 / $1,102.61	Professional		$482.97	$568.76	$1,102.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,749.00 / $9,877.00 / $16,490.00	Facility		$4,749.00	$9,877.00	$16,490.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $442.50 / $578.44 / $1,329.04	Professional		$442.50	$578.44	$1,329.04
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $770.70 / $1,990.00 / $8,917.50	Facility		$770.70	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $770.70 / $770.70 / $770.70	Professional		$770.70	$770.70	$770.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $623.07 / $623.07 / $623.07	Facility		$623.07	$623.07	$623.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $546.95 / $823.88 / $2,052.30	Professional		$546.95	$823.88	$2,052.30
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $793.00 / $1,467.99	Facility		$332.00	$793.00	$1,467.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $600.60 / $852.46 / $1,259.21	Professional		$600.60	$852.46	$1,259.21
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $515.76 / $515.76 / $515.76	Facility		$515.76	$515.76	$515.76
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $447.21 / $559.01 / $1,160.13	Professional		$447.21	$559.01	$1,160.13
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $623.07	Facility		$555.00	$597.00	$623.07
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $565.41 / $856.57 / $1,896.48	Professional		$565.41	$856.57	$1,896.48
United Facility/Professional Facility Modifier Low / Median / High Price $2,341.00 / $6,700.00 / $16,782.00	Facility		$2,341.00	$6,700.00	$16,782.00
United Facility/Professional Professional Modifier Low / Median / High Price $481.00 / $670.23 / $1,711.00	Professional		$481.00	$670.23	$1,711.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $657.66 / $657.66 / $2,515.31	Facility		$657.66	$657.66	$2,515.31
Univera Facility/Professional Professional Modifier Low / Median / High Price $510.60 / $718.77 / $1,390.19	Professional		$510.60	$718.77	$1,390.19