Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.98 / $3,009.14 / $10,965.00	Facility		$346.98	$3,009.14	$10,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $271.04 / $1,307.16 / $2,200.64	Professional		$271.04	$1,307.16	$2,200.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,263.00 / $5,184.00 / $11,809.00	Facility		$3,263.00	$5,184.00	$11,809.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,018.63 / $1,374.58 / $3,505.77	Professional		$1,018.63	$1,374.58	$3,505.77
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $340.52 / $340.52 / $13,477.50	Facility		$340.52	$340.52	$13,477.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $340.52 / $340.52 / $1,874.57	Professional		$340.52	$340.52	$1,874.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $411.94 / $411.94 / $14,648.00	Facility		$411.94	$411.94	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $210.98 / $864.54 / $3,113.71	Professional		$210.98	$864.54	$3,113.71
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $251.98 / $419.84 / $697.60	Facility		$251.98	$419.84	$697.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,157.10 / $1,507.62 / $2,275.82	Professional		$1,157.10	$1,507.62	$2,275.82
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,039.74 / $1,300.31 / $1,997.04	Professional		$1,039.74	$1,300.31	$1,997.04
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $411.94 / $555.00 / $74,999.25	Facility		$411.94	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $285.39 / $1,420.09 / $3,360.87	Professional		$285.39	$1,420.09	$3,360.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,079.00 / $2,826.00 / $4,851.00	Facility		$1,079.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,183.95 / $1,742.84 / $3,699.26	Professional		$1,183.95	$1,742.84	$3,699.26
Univera Facility/Professional Facility Modifier Low / Median / High Price $299.70 / $299.70 / $958.57	Facility		$299.70	$299.70	$958.57
Univera Facility/Professional Professional Modifier Low / Median / High Price $598.83 / $1,315.71 / $2,310.42	Professional		$598.83	$1,315.71	$2,310.42