Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $5,613.00 / $12,075.00	Facility		$1,819.00	$5,613.00	$12,075.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $412.89 / $574.80 / $752.76	Professional		$412.89	$574.80	$752.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,499.00 / $7,264.00 / $13,780.00	Facility		$4,499.00	$7,264.00	$13,780.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $632.22 / $1,371.92 / $2,026.70	Professional		$632.22	$1,371.92	$2,026.70
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $779.87 / $779.87 / $10,957.50	Facility		$779.87	$779.87	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $779.87 / $779.87 / $779.87	Professional		$779.87	$779.87	$779.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $649.17 / $649.17 / $13,296.25	Facility		$649.17	$649.17	$13,296.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $476.12 / $982.12 / $2,073.84	Professional		$476.12	$982.12	$2,073.84
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $250.00 / $332.00 / $2,593.10	Facility		$250.00	$332.00	$2,593.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,019.49 / $1,355.05 / $2,027.91	Professional		$1,019.49	$1,355.05	$2,027.91
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $934.52 / $934.52 / $934.52	Facility		$934.52	$934.52	$934.52
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $675.19 / $1,074.70 / $1,812.97	Professional		$675.19	$1,074.70	$1,812.97
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $649.17 / $33,837.00	Facility		$597.00	$649.17	$33,837.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $572.00 / $721.37 / $2,022.41	Professional		$572.00	$721.37	$2,022.41
United Facility/Professional Facility Modifier Low / Median / High Price $2,160.00 / $5,547.00 / $13,746.00	Facility		$2,160.00	$5,547.00	$13,746.00
United Facility/Professional Professional Modifier Low / Median / High Price $610.27 / $1,074.70 / $2,256.60	Professional		$610.27	$1,074.70	$2,256.60
Univera Facility/Professional Facility Modifier Low / Median / High Price $934.52 / $1,168.15 / $1,168.15	Facility		$934.52	$1,168.15	$1,168.15
Univera Facility/Professional Professional Modifier Low / Median / High Price $814.67 / $1,310.13 / $2,469.28	Professional		$814.67	$1,310.13	$2,469.28