Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $289.45 / $2,919.81 / $7,521.00	Facility		$289.45	$2,919.81	$7,521.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.87 / $1,420.18 / $3,418.15	Professional		$200.87	$1,420.18	$3,418.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $5,160.00 / $11,809.00	Facility		$3,283.00	$5,160.00	$11,809.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,510.65 / $1,923.83 / $4,477.09	Professional		$1,510.65	$1,923.83	$4,477.09
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $247.93 / $247.93 / $4,050.00	Facility		$247.93	$247.93	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $247.93 / $247.93 / $2,775.55	Professional		$247.93	$247.93	$2,775.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $304.61 / $304.61 / $14,648.00	Facility		$304.61	$304.61	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.86 / $703.75 / $5,613.57	Professional		$202.86	$703.75	$5,613.57
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $190.00 / $271.10 / $444.78	Facility		$190.00	$271.10	$444.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,839.04 / $2,354.69 / $3,535.05	Professional		$1,839.04	$2,354.69	$3,535.05
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,438.49 / $1,750.51 / $3,212.99	Professional		$1,438.49	$1,750.51	$3,212.99
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $304.61 / $304.61 / $74,999.25	Facility		$304.61	$304.61	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $224.56 / $1,952.97 / $5,208.55	Professional		$224.56	$1,952.97	$5,208.55
United Facility/Professional Facility Modifier Low / Median / High Price $1,079.00 / $2,826.00 / $4,851.00	Facility		$1,079.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,579.41 / $2,324.96 / $5,857.34	Professional		$1,579.41	$2,324.96	$5,857.34
Univera Facility/Professional Facility Modifier Low / Median / High Price $224.94 / $224.94 / $570.00	Facility		$224.94	$224.94	$570.00
Univera Facility/Professional Professional Modifier Low / Median / High Price $550.35 / $1,762.39 / $3,212.99	Professional		$550.35	$1,762.39	$3,212.99