Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $784.53 / $3,205.00 / $8,442.00	Facility		$784.53	$3,205.00	$8,442.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $581.95 / $708.24 / $1,204.07	Professional		$581.95	$708.24	$1,204.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,373.00 / $4,085.00 / $8,281.00	Facility		$2,373.00	$4,085.00	$8,281.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.17 / $580.14 / $1,429.90	Professional		$467.17	$580.14	$1,429.90
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $865.23 / $1,716.00 / $6,213.00	Facility		$865.23	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $865.23 / $865.23 / $865.23	Professional		$865.23	$865.23	$865.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $701.32 / $701.32 / $4,612.43	Facility		$701.32	$701.32	$4,612.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $487.12 / $962.32 / $2,172.19	Professional		$487.12	$962.32	$2,172.19
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $517.00 / $1,617.12	Facility		$332.00	$517.00	$1,617.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $708.98 / $858.55 / $1,261.05	Professional		$708.98	$858.55	$1,261.05
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $581.13 / $581.13 / $639.45	Facility		$581.13	$581.13	$639.45
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $464.90 / $746.76 / $1,158.97	Professional		$464.90	$746.76	$1,158.97
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $701.32 / $4,612.43	Facility		$597.00	$701.32	$4,612.43
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $925.35 / $2,082.31	Professional		$600.00	$925.35	$2,082.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,693.00 / $3,972.00 / $9,202.00	Facility		$1,693.00	$3,972.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $510.88 / $718.72 / $1,723.62	Professional		$510.88	$718.72	$1,723.62
Univera Facility/Professional Facility Modifier Low / Median / High Price $639.45 / $746.76 / $2,552.05	Facility		$639.45	$746.76	$2,552.05
Univera Facility/Professional Professional Modifier Low / Median / High Price $464.90 / $837.52 / $1,587.54	Professional		$464.90	$837.52	$1,587.54