Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.00 / $4,663.00 / $10,686.00	Facility		$645.00	$4,663.00	$10,686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $516.64 / $604.97 / $1,140.90	Professional		$516.64	$604.97	$1,140.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,989.00 / $10,294.00 / $20,926.00	Facility		$4,989.00	$10,294.00	$20,926.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $375.40 / $490.72 / $1,184.47	Professional		$375.40	$490.72	$1,184.47
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $634.53 / $2,390.00 / $10,957.50	Facility		$634.53	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $634.53 / $634.53 / $634.53	Professional		$634.53	$634.53	$634.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $509.80 / $7,227.90 / $76,894.00	Facility		$509.80	$7,227.90	$76,894.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.44 / $806.24 / $1,630.48	Professional		$457.44	$806.24	$1,630.48
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $779.00 / $5,714.00	Facility		$332.00	$779.00	$5,714.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $477.04 / $636.04 / $916.97	Professional		$477.04	$636.04	$916.97
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.64 / $612.86 / $810.91	Professional		$380.64	$612.86	$810.91
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $509.80 / $7,227.90 / $76,894.00	Facility		$509.80	$7,227.90	$76,894.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $474.72 / $850.99 / $1,630.48	Professional		$474.72	$850.99	$1,630.48
United Facility/Professional Facility Modifier Low / Median / High Price $2,705.00 / $11,551.00 / $62,365.00	Facility		$2,705.00	$11,551.00	$62,365.00
United Facility/Professional Professional Modifier Low / Median / High Price $434.91 / $605.51 / $1,478.66	Professional		$434.91	$605.51	$1,478.66
Univera Facility/Professional Facility Modifier Low / Median / High Price $810.91 / $810.91 / $994.58	Facility		$810.91	$810.91	$994.58
Univera Facility/Professional Professional Modifier Low / Median / High Price $380.64 / $644.74 / $936.17	Professional		$380.64	$644.74	$936.17