Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $705.26 / $3,996.00 / $10,296.00	Facility		$705.26	$3,996.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $469.57 / $710.14 / $1,128.78	Professional		$469.57	$710.14	$1,128.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,120.00 / $8,836.00	Facility		$2,393.00	$4,120.00	$8,836.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $473.82 / $619.38 / $1,430.37	Professional		$473.82	$619.38	$1,430.37
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $822.38 / $822.38 / $10,957.50	Facility		$822.38	$822.38	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $822.38 / $822.38 / $822.38	Professional		$822.38	$822.38	$822.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $663.35 / $663.35 / $7,227.90	Facility		$663.35	$663.35	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $550.16 / $996.87 / $2,282.61	Professional		$550.16	$996.87	$2,282.61
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $955.00 / $1,528.00	Facility		$319.00	$955.00	$1,528.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $667.92 / $795.31 / $1,190.22	Professional		$667.92	$795.31	$1,190.22
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $449.87 / $713.04 / $1,059.51	Professional		$449.87	$713.04	$1,059.51
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $663.35 / $7,227.90	Facility		$555.00	$663.35	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $995.20 / $2,170.73	Professional		$600.00	$995.20	$2,170.73
United Facility/Professional Facility Modifier Low / Median / High Price $2,337.00 / $6,450.00 / $12,742.00	Facility		$2,337.00	$6,450.00	$12,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $485.05 / $728.58 / $1,821.60	Professional		$485.05	$728.58	$1,821.60
Univera Facility/Professional Facility Modifier Low / Median / High Price $756.79 / $756.79 / $2,007.79	Facility		$756.79	$756.79	$2,007.79
Univera Facility/Professional Professional Modifier Low / Median / High Price $449.87 / $756.79 / $1,236.10	Professional		$449.87	$756.79	$1,236.10