Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $940.85 / $3,599.00 / $9,038.00	Facility		$940.85	$3,599.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $678.18 / $860.90 / $1,501.68	Professional		$678.18	$860.90	$1,501.68
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 $581.86 / $722.57 / $1,721.45	Professional		$581.86	$722.57	$1,721.45
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $997.05 / $997.05 / $37,499.62	Facility		$997.05	$997.05	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $997.05 / $997.05 / $997.05	Professional		$997.05	$997.05	$997.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $889.21 / $889.21 / $7,227.90	Facility		$889.21	$889.21	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $572.14 / $1,129.48 / $2,605.82	Professional		$572.14	$1,129.48	$2,605.82
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $656.25 / $2,108.96	Facility		$332.00	$656.25	$2,108.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $843.59 / $1,082.99 / $1,621.56	Professional		$843.59	$1,082.99	$1,621.56
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $725.23 / $725.23 / $725.23	Facility		$725.23	$725.23	$725.23
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $603.14 / $927.02 / $1,438.74	Professional		$603.14	$927.02	$1,438.74
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $889.21 / $7,227.90	Facility		$597.00	$889.21	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $729.07 / $1,057.01 / $2,480.27	Professional		$729.07	$1,057.01	$2,480.27
United Facility/Professional Facility Modifier Low / Median / High Price $1,269.00 / $3,612.00 / $8,133.00	Facility		$1,269.00	$3,612.00	$8,133.00
United Facility/Professional Professional Modifier Low / Median / High Price $622.58 / $880.31 / $2,072.15	Professional		$622.58	$880.31	$2,072.15
Univera Facility/Professional Facility Modifier Low / Median / High Price $927.02 / $927.02 / $2,862.76	Facility		$927.02	$927.02	$2,862.76
Univera Facility/Professional Professional Modifier Low / Median / High Price $603.14 / $1,039.69 / $1,959.57	Professional		$603.14	$1,039.69	$1,959.57