Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,516.00 / $5,960.00 / $11,996.00	Facility		$1,516.00	$5,960.00	$11,996.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.51 / $449.12 / $591.76	Professional		$281.51	$449.12	$591.76
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 / $676.92	Professional		$187.27	$237.46	$676.92
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $422.21 / $422.21 / $37,499.62	Facility		$422.21	$422.21	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $422.21 / $422.21 / $422.21	Professional		$422.21	$422.21	$422.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $371.76 / $371.76 / $7,227.90	Facility		$371.76	$371.76	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $330.96 / $545.64 / $1,108.95	Professional		$330.96	$545.64	$1,108.95
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $294.00 / $610.00 / $1,140.10	Facility		$294.00	$610.00	$1,140.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $411.72 / $634.79 / $1,165.03	Professional		$411.72	$634.79	$1,165.03
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $529.55 / $922.05 / $1,208.64	Professional		$529.55	$922.05	$1,208.64
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $371.76 / $597.00 / $74,999.25	Facility		$371.76	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $333.58 / $619.91 / $1,108.95	Professional		$333.58	$619.91	$1,108.95
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 $289.43 / $568.04 / $1,226.22	Professional		$289.43	$568.04	$1,226.22
Univera Facility/Professional Facility Modifier Low / Median / High Price $828.60 / $828.60 / $1,434.04	Facility		$828.60	$828.60	$1,434.04
Univera Facility/Professional Professional Modifier Low / Median / High Price $529.55 / $954.52 / $1,655.59	Professional		$529.55	$954.52	$1,655.59