Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $808.81 / $3,599.00 / $9,038.00	Facility		$808.81	$3,599.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $578.59 / $721.94 / $1,295.63	Professional		$578.59	$721.94	$1,295.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,248.00 / $4,838.00 / $11,446.00	Facility		$3,248.00	$4,838.00	$11,446.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $454.86 / $576.76 / $1,441.44	Professional		$454.86	$576.76	$1,441.44
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $944.90 / $1,716.00 / $6,213.00	Facility		$944.90	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $944.90 / $944.90 / $944.90	Professional		$944.90	$944.90	$944.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $763.69 / $763.69 / $4,612.43	Facility		$763.69	$763.69	$4,612.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $570.83 / $970.50 / $2,491.28	Professional		$570.83	$970.50	$2,491.28
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $724.00 / $1,812.13	Facility		$332.00	$724.00	$1,812.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $724.85 / $930.61 / $1,393.32	Professional		$724.85	$930.61	$1,393.32
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $623.25 / $623.25 / $639.45	Facility		$623.25	$623.25	$639.45
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $513.75 / $765.20 / $1,236.51	Professional		$513.75	$765.20	$1,236.51
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $763.69 / $4,612.43	Facility		$597.00	$763.69	$4,612.43
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $673.66 / $957.88 / $2,225.06	Professional		$673.66	$957.88	$2,225.06
United Facility/Professional Facility Modifier Low / Median / High Price $1,694.00 / $4,893.00 / $11,176.00	Facility		$1,694.00	$4,893.00	$11,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $562.54 / $800.79 / $2,009.76	Professional		$562.54	$800.79	$2,009.76
Univera Facility/Professional Facility Modifier Low / Median / High Price $639.45 / $796.72 / $2,425.87	Facility		$639.45	$796.72	$2,425.87
Univera Facility/Professional Professional Modifier Low / Median / High Price $513.75 / $893.55 / $1,693.76	Professional		$513.75	$893.55	$1,693.76