Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $548.76 / $4,043.00 / $10,296.00	Facility		$548.76	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $513.52 / $618.74 / $1,106.99	Professional		$513.52	$618.74	$1,106.99
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 $386.72 / $505.52 / $1,144.22	Professional		$386.72	$505.52	$1,144.22
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $650.79 / $650.79 / $37,499.62	Facility		$650.79	$650.79	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $650.79 / $650.79 / $650.79	Professional		$650.79	$650.79	$650.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $523.29 / $523.29 / $7,227.90	Facility		$523.29	$523.29	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $474.21 / $821.70 / $1,688.89	Professional		$474.21	$821.70	$1,688.89
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $651.00 / $2,671.47	Facility		$332.00	$651.00	$2,671.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $483.77 / $645.02 / $929.91	Professional		$483.77	$645.02	$929.91
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $403.02 / $504.23 / $740.33	Professional		$403.02	$504.23	$740.33
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $523.29 / $597.00 / $74,999.25	Facility		$523.29	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $484.82 / $807.48 / $1,688.89	Professional		$484.82	$807.48	$1,688.89
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 $472.70 / $627.78 / $1,407.72	Professional		$472.70	$627.78	$1,407.72
Univera Facility/Professional Facility Modifier Low / Median / High Price $571.32 / $571.32 / $1,014.88	Facility		$571.32	$571.32	$1,014.88
Univera Facility/Professional Professional Modifier Low / Median / High Price $419.09 / $571.32 / $947.19	Professional		$419.09	$571.32	$947.19