Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $5,845.00 / $10,686.00	Facility		$1,819.00	$5,845.00	$10,686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $438.09 / $3,228.67 / $3,228.67	Professional		$438.09	$3,228.67	$3,228.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,123.00 / $9,074.00	Facility		$2,393.00	$4,123.00	$9,074.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $187.27 / $237.46 / $622.36	Professional		$187.27	$237.46	$622.36
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $529.14 / $529.14 / $37,499.62	Facility		$529.14	$529.14	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $529.14 / $529.14 / $529.14	Professional		$529.14	$529.14	$529.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $476.18 / $476.18 / $7,227.90	Facility		$476.18	$476.18	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.71 / $673.36 / $1,364.73	Professional		$398.71	$673.36	$1,364.73
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $294.00 / $610.00 / $1,458.09	Facility		$294.00	$610.00	$1,458.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $411.72 / $634.79 / $1,652.50	Professional		$411.72	$634.79	$1,652.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $751.14 / $1,325.53 / $1,714.36	Professional		$751.14	$1,325.53	$1,714.36
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $476.18 / $597.00 / $74,999.25	Facility		$476.18	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $401.91 / $765.01 / $1,364.73	Professional		$401.91	$765.01	$1,364.73
United Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $4,194.00 / $9,300.00	Facility		$1,749.00	$4,194.00	$9,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $337.64 / $646.13 / $1,410.18	Professional		$337.64	$646.13	$1,410.18
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,175.31 / $1,175.31 / $2,034.05	Facility		$1,175.31	$1,175.31	$2,034.05
Univera Facility/Professional Professional Modifier Low / Median / High Price $751.14 / $1,375.91 / $2,348.32	Professional		$751.14	$1,375.91	$2,348.32