Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $297.67 / $3,621.00 / $11,609.00	Facility		$297.67	$3,621.00	$11,609.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.84 / $815.16 / $1,791.16	Professional		$223.84	$815.16	$1,791.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,263.00 / $5,196.00 / $11,909.00	Facility		$3,263.00	$5,196.00	$11,909.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $773.64 / $1,118.28 / $2,776.36	Professional		$773.64	$1,118.28	$2,776.36
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $297.52 / $297.52 / $8,917.50	Facility		$297.52	$297.52	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $297.52 / $297.52 / $1,567.55	Professional		$297.52	$297.52	$1,567.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $359.66 / $359.66 / $14,648.00	Facility		$359.66	$359.66	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.31 / $716.96 / $3,045.55	Professional		$227.31	$716.96	$3,045.55
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $264.00 / $540.09	Facility		$165.00	$264.00	$540.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,038.04 / $1,407.12 / $2,123.38	Professional		$1,038.04	$1,407.12	$2,123.38
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $855.52 / $1,357.94 / $2,131.96	Professional		$855.52	$1,357.94	$2,131.96
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $359.66 / $359.66 / $597.00	Facility		$359.66	$359.66	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $237.69 / $1,132.31 / $3,231.35	Professional		$237.69	$1,132.31	$3,231.35
United Facility/Professional Facility Modifier Low / Median / High Price $1,079.00 / $2,884.00 / $4,840.00	Facility		$1,079.00	$2,884.00	$4,840.00
United Facility/Professional Professional Modifier Low / Median / High Price $951.52 / $1,337.94 / $3,420.15	Professional		$951.52	$1,337.94	$3,420.15
Univera Facility/Professional Facility Modifier Low / Median / High Price $264.56 / $264.56 / $911.14	Facility		$264.56	$264.56	$911.14
Univera Facility/Professional Professional Modifier Low / Median / High Price $657.02 / $1,285.93 / $2,131.96	Professional		$657.02	$1,285.93	$2,131.96