Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $5,411.00 / $10,686.00	Facility		$1,819.00	$5,411.00	$10,686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $434.52 / $592.61 / $2,763.49	Professional		$434.52	$592.61	$2,763.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $603.76 / $4,452.30 / $6,702.77	Professional		$603.76	$4,452.30	$6,702.77
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $626.15 / $626.15 / $37,499.62	Facility		$626.15	$626.15	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $626.15 / $626.15 / $626.15	Professional		$626.15	$626.15	$626.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $547.70 / $547.70 / $7,227.90	Facility		$547.70	$547.70	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $383.44 / $801.25 / $1,768.77	Professional		$383.44	$801.25	$1,768.77
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $448.80 / $1,824.49	Facility		$332.00	$448.80	$1,824.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $476.42 / $660.37 / $1,990.35	Professional		$476.42	$660.37	$1,990.35
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,105.75 / $1,105.75 / $1,105.75	Facility		$1,105.75	$1,105.75	$1,105.75
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $939.89 / $1,570.16 / $2,319.69	Professional		$939.89	$1,570.16	$2,319.69
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $547.70 / $555.00 / $7,227.90	Facility		$547.70	$555.00	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $383.44 / $810.51 / $1,786.62	Professional		$383.44	$810.51	$1,786.62
United Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $4,194.00 / $9,020.04	Facility		$996.00	$4,194.00	$9,020.04
United Facility/Professional Professional Modifier Low / Median / High Price $333.93 / $588.40 / $1,639.75	Professional		$333.93	$588.40	$1,639.75
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,382.19 / $1,382.19 / $2,490.73	Facility		$1,382.19	$1,382.19	$2,490.73
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,105.75 / $1,747.09 / $2,938.42	Professional		$1,105.75	$1,747.09	$2,938.42