Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $789.48 / $4,452.00 / $10,024.00	Facility		$789.48	$4,452.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $641.62 / $771.41 / $1,396.71	Professional		$641.62	$771.41	$1,396.71
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 $431.30 / $563.79 / $1,438.36	Professional		$431.30	$563.79	$1,438.36
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $805.78 / $1,990.00 / $8,917.50	Facility		$805.78	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $805.78 / $805.78 / $805.78	Professional		$805.78	$805.78	$805.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $658.94 / $658.94 / $5,246.94	Facility		$658.94	$658.94	$5,246.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $493.31 / $992.50 / $2,144.09	Professional		$493.31	$992.50	$2,144.09
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $965.38 / $1,923.20	Facility		$319.00	$965.38	$1,923.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $613.65 / $818.20 / $1,179.57	Professional		$613.65	$818.20	$1,179.57
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $430.58 / $577.65 / $981.58	Professional		$430.58	$577.65	$981.58
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $658.94 / $74,999.25	Facility		$555.00	$658.94	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $527.29 / $992.50 / $2,144.09	Professional		$527.29	$992.50	$2,144.09
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,248.00 / $11,176.00	Facility		$2,264.00	$5,248.00	$11,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $583.20 / $771.55 / $1,831.20	Professional		$583.20	$771.55	$1,831.20
Univera Facility/Professional Facility Modifier Low / Median / High Price $719.96 / $719.96 / $2,385.98	Facility		$719.96	$719.96	$2,385.98
Univera Facility/Professional Professional Modifier Low / Median / High Price $430.58 / $821.37 / $1,438.52	Professional		$430.58	$821.37	$1,438.52