Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $868.07 / $3,100.00 / $10,170.00	Facility		$868.07	$3,100.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $681.46 / $868.07 / $1,549.80	Professional		$681.46	$868.07	$1,549.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $4,975.00 / $11,448.00	Facility		$3,283.00	$4,975.00	$11,448.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $610.00 / $757.52 / $1,708.20	Professional		$610.00	$757.52	$1,708.20
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,083.45 / $1,083.45 / $37,499.62	Facility		$1,083.45	$1,083.45	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,083.45 / $1,083.45 / $1,083.45	Professional		$1,083.45	$1,083.45	$1,083.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $876.60 / $876.60 / $7,227.90	Facility		$876.60	$876.60	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $648.72 / $1,119.75 / $2,855.54	Professional		$648.72	$1,119.75	$2,855.54
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $849.00 / $2,077.54	Facility		$332.00	$849.00	$2,077.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $831.02 / $1,066.69 / $1,597.40	Professional		$831.02	$1,066.69	$1,597.40
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $714.18 / $714.18 / $714.18	Facility		$714.18	$714.18	$714.18
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $591.85 / $821.31 / $1,416.67	Professional		$591.85	$821.31	$1,416.67
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $876.60 / $7,227.90	Facility		$597.00	$876.60	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $772.38 / $1,105.40 / $2,588.30	Professional		$772.38	$1,105.40	$2,588.30
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 $647.37 / $919.11 / $2,101.66	Professional		$647.37	$919.11	$2,101.66
Univera Facility/Professional Facility Modifier Low / Median / High Price $912.81 / $912.81 / $2,819.11	Facility		$912.81	$912.81	$2,819.11
Univera Facility/Professional Professional Modifier Low / Median / High Price $591.85 / $1,023.75 / $1,940.55	Professional		$591.85	$1,023.75	$1,940.55