Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $818.68 / $3,100.00 / $10,170.00	Facility		$818.68	$3,100.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $614.69 / $818.68 / $1,345.95	Professional		$614.69	$818.68	$1,345.95
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 $559.36 / $694.63 / $1,545.53	Professional		$559.36	$694.63	$1,545.53
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $977.75 / $977.75 / $37,499.62	Facility		$977.75	$977.75	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $977.75 / $977.75 / $977.75	Professional		$977.75	$977.75	$977.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $791.88 / $791.88 / $7,227.90	Facility		$791.88	$791.88	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $592.22 / $1,049.07 / $2,580.54	Professional		$592.22	$1,049.07	$2,580.54
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $806.00 / $7,533.00	Facility		$332.00	$806.00	$7,533.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $752.47 / $965.98 / $1,446.42	Professional		$752.47	$965.98	$1,446.42
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $646.79 / $646.79 / $646.79	Facility		$646.79	$646.79	$646.79
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $542.39 / $825.61 / $1,281.34	Professional		$542.39	$825.61	$1,281.34
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $791.88 / $7,227.90	Facility		$597.00	$791.88	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $700.13 / $1,006.62 / $2,386.02	Professional		$700.13	$1,006.62	$2,386.02
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 $582.11 / $808.50 / $1,924.54	Professional		$582.11	$808.50	$1,924.54
Univera Facility/Professional Facility Modifier Low / Median / High Price $825.61 / $825.61 / $2,608.94	Facility		$825.61	$825.61	$2,608.94
Univera Facility/Professional Professional Modifier Low / Median / High Price $542.39 / $925.96 / $1,755.19	Professional		$542.39	$925.96	$1,755.19