Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $837.92 / $5,700.00 / $12,568.00	Facility		$837.92	$5,700.00	$12,568.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $563.35 / $822.22 / $1,736.76	Professional		$563.35	$822.22	$1,736.76
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 $452.84 / $583.55 / $1,587.99	Professional		$452.84	$583.55	$1,587.99
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $953.93 / $3,478.50 / $13,477.50	Facility		$953.93	$3,478.50	$13,477.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $953.93 / $953.93 / $953.93	Professional		$953.93	$953.93	$953.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $761.30 / $761.30 / $10,297.11	Facility		$761.30	$761.30	$10,297.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.48 / $1,073.71 / $2,428.98	Professional		$524.48	$1,073.71	$2,428.98
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $711.41 / $1,739.59	Facility		$319.00	$711.41	$1,739.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $773.15 / $899.99 / $1,346.88	Professional		$773.15	$899.99	$1,346.88
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $516.97 / $625.94 / $1,246.11	Professional		$516.97	$625.94	$1,246.11
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $761.30 / $10,297.11	Facility		$555.00	$761.30	$10,297.11
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $569.57 / $1,083.79 / $2,421.01	Professional		$569.57	$1,083.79	$2,421.01
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 $521.26 / $800.12 / $1,974.57	Professional		$521.26	$800.12	$1,974.57
Univera Facility/Professional Facility Modifier Low / Median / High Price $734.09 / $734.09 / $1,952.99	Facility		$734.09	$734.09	$1,952.99
Univera Facility/Professional Professional Modifier Low / Median / High Price $516.97 / $843.71 / $1,596.59	Professional		$516.97	$843.71	$1,596.59