Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $531.96 / $4,043.00 / $10,296.00	Facility		$531.96	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $492.77 / $587.46 / $1,068.74	Professional		$492.77	$587.46	$1,068.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,100.00 / $7,264.00 / $12,538.00	Facility		$4,100.00	$7,264.00	$12,538.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $364.93 / $477.04 / $1,058.92	Professional		$364.93	$477.04	$1,058.92
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $615.62 / $615.62 / $37,499.62	Facility		$615.62	$615.62	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $615.62 / $615.62 / $615.62	Professional		$615.62	$615.62	$615.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $503.10 / $503.10 / $7,227.90	Facility		$503.10	$503.10	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $449.14 / $755.70 / $1,635.19	Professional		$449.14	$755.70	$1,635.19
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $806.15 / $3,495.66	Facility		$332.00	$806.15	$3,495.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $465.34 / $620.45 / $894.48	Professional		$465.34	$620.45	$894.48
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $312.20 / $415.42 / $704.16	Professional		$312.20	$415.42	$704.16
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $503.10 / $597.00 / $74,999.25	Facility		$503.10	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $459.78 / $729.18 / $1,635.19	Professional		$459.78	$729.18	$1,635.19
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 $438.48 / $586.51 / $1,362.95	Professional		$438.48	$586.51	$1,362.95
Univera Facility/Professional Facility Modifier Low / Median / High Price $543.80 / $543.80 / $1,461.19	Facility		$543.80	$543.80	$1,461.19
Univera Facility/Professional Professional Modifier Low / Median / High Price $312.20 / $620.65 / $1,086.56	Professional		$312.20	$620.65	$1,086.56