Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,243.10 / $3,599.00 / $9,038.00	Facility		$1,243.10	$3,599.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $939.89 / $1,177.32 / $1,984.75	Professional		$939.89	$1,177.32	$1,984.75
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 $814.55 / $1,011.54 / $2,325.69	Professional		$814.55	$1,011.54	$2,325.69
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,424.80 / $1,424.80 / $8,917.50	Facility		$1,424.80	$1,424.80	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,424.80 / $1,424.80 / $1,424.80	Professional		$1,424.80	$1,424.80	$1,424.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,158.61 / $1,158.61 / $7,227.90	Facility		$1,158.61	$1,158.61	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $804.08 / $1,503.30 / $3,573.29	Professional		$804.08	$1,503.30	$3,573.29
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,200.00 / $2,642.42	Facility		$332.00	$1,200.00	$2,642.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,056.97 / $1,382.42 / $2,068.86	Professional		$1,056.97	$1,382.42	$2,068.86
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $953.39 / $953.39 / $953.39	Facility		$953.39	$953.39	$953.39
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $804.66 / $1,222.68 / $1,897.60	Professional		$804.66	$1,222.68	$1,897.60
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,158.61 / $7,227.90	Facility		$597.00	$1,158.61	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $952.63 / $1,450.94 / $3,400.85	Professional		$952.63	$1,450.94	$3,400.85
United Facility/Professional Facility Modifier Low / Median / High Price $1,693.00 / $4,370.00 / $9,399.79	Facility		$1,693.00	$4,370.00	$9,399.79
United Facility/Professional Professional Modifier Low / Median / High Price $800.00 / $1,144.07 / $2,614.14	Professional		$800.00	$1,144.07	$2,614.14
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,222.68 / $1,222.68 / $3,608.01	Facility		$1,222.68	$1,222.68	$3,608.01
Univera Facility/Professional Professional Modifier Low / Median / High Price $804.66 / $1,371.28 / $2,599.32	Professional		$804.66	$1,371.28	$2,599.32