Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $935.64 / $5,228.00 / $11,161.00	Facility		$935.64	$5,228.00	$11,161.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.15 / $896.85 / $1,895.16	Professional		$616.15	$896.85	$1,895.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,100.00 / $7,264.00 / $12,274.00	Facility		$4,100.00	$7,264.00	$12,274.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $548.84 / $707.28 / $1,731.26	Professional		$548.84	$707.28	$1,731.26
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,043.20 / $2,644.00 / $12,319.50	Facility		$1,043.20	$2,644.00	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,043.20 / $1,043.20 / $1,043.20	Professional		$1,043.20	$1,043.20	$1,043.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $833.63 / $833.63 / $7,289.38	Facility		$833.63	$833.63	$7,289.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $570.08 / $1,165.19 / $2,650.54	Professional		$570.08	$1,165.19	$2,650.54
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $784.19 / $1,918.80	Facility		$319.00	$784.19	$1,918.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $852.80 / $994.48 / $1,488.29	Professional		$852.80	$994.48	$1,488.29
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $579.19 / $685.85 / $1,365.78	Professional		$579.19	$685.85	$1,365.78
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $833.63 / $7,289.38	Facility		$555.00	$833.63	$7,289.38
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $637.97 / $1,171.08 / $2,650.54	Professional		$637.97	$1,171.08	$2,650.54
United Facility/Professional Facility Modifier Low / Median / High Price $2,337.00 / $5,963.00 / $12,509.00	Facility		$2,337.00	$5,963.00	$12,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $596.54 / $891.87 / $1,985.90	Professional		$596.54	$891.87	$1,985.90
Univera Facility/Professional Facility Modifier Low / Median / High Price $804.59 / $804.59 / $2,256.81	Facility		$804.59	$804.59	$2,256.81
Univera Facility/Professional Professional Modifier Low / Median / High Price $579.19 / $924.73 / $1,749.90	Professional		$579.19	$924.73	$1,749.90