Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $498.14 / $4,043.00 / $10,296.00	Facility		$498.14	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $455.84 / $560.89 / $1,002.29	Professional		$455.84	$560.89	$1,002.29
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 $350.22 / $457.81 / $1,035.88	Professional		$350.22	$457.81	$1,035.88
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $589.30 / $589.30 / $37,499.62	Facility		$589.30	$589.30	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $589.30 / $589.30 / $589.30	Professional		$589.30	$589.30	$589.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $473.98 / $473.98 / $7,227.90	Facility		$473.98	$473.98	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $429.80 / $723.21 / $1,529.01	Professional		$429.80	$723.21	$1,529.01
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $575.00 / $1,099.82	Facility		$319.00	$575.00	$1,099.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $439.93 / $586.57 / $845.64	Professional		$439.93	$586.57	$845.64
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $286.51 / $444.18 / $705.73	Professional		$286.51	$444.18	$705.73
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $473.98 / $597.00 / $74,999.25	Facility		$473.98	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $437.35 / $710.70 / $1,504.12	Professional		$437.35	$710.70	$1,504.12
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 $423.47 / $555.35 / $1,317.71	Professional		$423.47	$555.35	$1,317.71
Univera Facility/Professional Facility Modifier Low / Median / High Price $517.64 / $517.64 / $894.01	Facility		$517.64	$517.64	$894.01
Univera Facility/Professional Professional Modifier Low / Median / High Price $286.51 / $517.64 / $858.20	Professional		$286.51	$517.64	$858.20