Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $683.27 / $6,067.00 / $13,790.00	Facility		$683.27	$6,067.00	$13,790.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $463.71 / $663.57 / $1,283.67	Professional		$463.71	$663.57	$1,283.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $5,279.00 / $11,909.00	Facility		$3,283.00	$5,279.00	$11,909.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.45 / $433.27 / $1,281.98	Professional		$331.45	$433.27	$1,281.98
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $543.24 / $543.24 / $37,499.62	Facility		$543.24	$543.24	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $543.24 / $543.24 / $543.24	Professional		$543.24	$543.24	$543.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $444.48 / $444.48 / $7,227.90	Facility		$444.48	$444.48	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $405.16 / $836.42 / $1,475.24	Professional		$405.16	$836.42	$1,475.24
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,013.00 / $4,876.06	Facility		$332.00	$1,013.00	$4,876.06
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $455.97 / $591.33 / $788.83	Professional		$455.97	$591.33	$788.83
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.45 / $493.91 / $621.49	Professional		$281.45	$493.91	$621.49
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $444.48 / $597.00 / $74,999.25	Facility		$444.48	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $437.98 / $880.07 / $1,611.81	Professional		$437.98	$880.07	$1,611.81
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 $396.92 / $590.51 / $1,323.50	Professional		$396.92	$590.51	$1,323.50
Univera Facility/Professional Facility Modifier Low / Median / High Price $480.41 / $480.41 / $2,475.48	Facility		$480.41	$480.41	$2,475.48
Univera Facility/Professional Professional Modifier Low / Median / High Price $281.45 / $547.79 / $959.88	Professional		$281.45	$547.79	$959.88