Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $542.77 / $4,910.00 / $10,965.00	Facility		$542.77	$4,910.00	$10,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $434.70 / $505.50 / $923.57	Professional		$434.70	$505.50	$923.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,407.00 / $5,434.00 / $12,168.00	Facility		$3,407.00	$5,434.00	$12,168.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $329.36 / $430.54 / $918.26	Professional		$329.36	$430.54	$918.26
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $528.21 / $528.21 / $8,917.50	Facility		$528.21	$528.21	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $528.21 / $528.21 / $528.21	Professional		$528.21	$528.21	$528.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $425.40 / $7,227.90 / $50,020.00	Facility		$425.40	$7,227.90	$50,020.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.75 / $637.99 / $1,366.92	Professional		$380.75	$637.99	$1,366.92
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $692.30 / $2,992.22	Facility		$332.00	$692.30	$2,992.22
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $400.07 / $533.41 / $769.02	Professional		$400.07	$533.41	$769.02
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $276.16 / $514.10 / $679.76	Professional		$276.16	$514.10	$679.76
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $425.40 / $7,227.90 / $74,999.25	Facility		$425.40	$7,227.90	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $390.36 / $637.99 / $1,344.13	Professional		$390.36	$637.99	$1,344.13
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,248.00 / $37,131.00	Facility		$2,264.00	$5,248.00	$37,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $364.74 / $500.03 / $1,120.34	Professional		$364.74	$500.03	$1,120.34
Univera Facility/Professional Facility Modifier Low / Median / High Price $679.76 / $679.76 / $1,892.29	Facility		$679.76	$679.76	$1,892.29
Univera Facility/Professional Professional Modifier Low / Median / High Price $276.16 / $545.27 / $945.75	Professional		$276.16	$545.27	$945.75