Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $749.83 / $4,043.00 / $9,868.00	Facility		$749.83	$4,043.00	$9,868.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $542.52 / $712.02 / $1,192.91	Professional		$542.52	$712.02	$1,192.91
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 $451.80 / $561.05 / $1,374.78	Professional		$451.80	$561.05	$1,374.78
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $878.40 / $1,990.00 / $8,917.50	Facility		$878.40	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $878.40 / $878.40 / $878.40	Professional		$878.40	$878.40	$878.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $702.40 / $702.40 / $5,246.94	Facility		$702.40	$702.40	$5,246.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $511.90 / $897.14 / $2,301.71	Professional		$511.90	$897.14	$2,301.71
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $517.50 / $1,677.98	Facility		$332.00	$517.50	$1,677.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $671.19 / $862.44 / $1,290.18	Professional		$671.19	$862.44	$1,290.18
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $578.42 / $578.42 / $862.75	Facility		$578.42	$578.42	$862.75
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $441.95 / $710.16 / $1,143.96	Professional		$441.95	$710.16	$1,143.96
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $702.40 / $5,246.94	Facility		$597.00	$702.40	$5,246.94
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $565.77 / $876.02 / $2,077.28	Professional		$565.77	$876.02	$2,077.28
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 $503.96 / $711.33 / $1,777.38	Professional		$503.96	$711.33	$1,777.38
Univera Facility/Professional Facility Modifier Low / Median / High Price $737.09 / $737.09 / $2,031.82	Facility		$737.09	$737.09	$2,031.82
Univera Facility/Professional Professional Modifier Low / Median / High Price $441.95 / $776.83 / $1,566.99	Professional		$441.95	$776.83	$1,566.99