Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $772.35 / $4,910.00 / $11,396.00	Facility		$772.35	$4,910.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $619.01 / $853.74 / $1,721.89	Professional		$619.01	$853.74	$1,721.89
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 $590.40 / $737.04 / $1,599.41	Professional		$590.40	$737.04	$1,599.41
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,008.86 / $1,008.86 / $8,917.50	Facility		$1,008.86	$1,008.86	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,008.86 / $1,008.86 / $1,008.86	Professional		$1,008.86	$1,008.86	$1,008.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $838.09 / $838.09 / $7,227.90	Facility		$838.09	$838.09	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $546.29 / $995.35 / $2,643.01	Professional		$546.29	$995.35	$2,643.01
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $808.06 / $2,068.94	Facility		$319.00	$808.06	$2,068.94
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $827.58 / $1,103.44 / $1,590.79	Professional		$827.58	$1,103.44	$1,590.79
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $364.93 / $706.17 / $1,202.36	Professional		$364.93	$706.17	$1,202.36
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $7,227.90 / $74,999.25	Facility		$555.00	$7,227.90	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $598.86 / $1,006.38 / $2,426.98	Professional		$598.86	$1,006.38	$2,426.98
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,248.00 / $12,962.00	Facility		$2,264.00	$5,248.00	$12,962.00
United Facility/Professional Professional Modifier Low / Median / High Price $624.27 / $920.85 / $2,284.44	Professional		$624.27	$920.85	$2,284.44
Univera Facility/Professional Facility Modifier Low / Median / High Price $924.92 / $924.92 / $1,656.48	Facility		$924.92	$924.92	$1,656.48
Univera Facility/Professional Professional Modifier Low / Median / High Price $364.93 / $1,059.78 / $1,656.48	Professional		$364.93	$1,059.78	$1,656.48