Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $929.58 / $3,996.00 / $10,296.00	Facility		$929.58	$3,996.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $682.93 / $980.69 / $1,481.56	Professional		$682.93	$980.69	$1,481.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $5,221.66 / $11,909.00	Facility		$3,283.00	$5,221.66	$11,909.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $636.44 / $831.96 / $1,901.89	Professional		$636.44	$831.96	$1,901.89
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,087.16 / $1,087.16 / $37,499.62	Facility		$1,087.16	$1,087.16	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,087.16 / $1,087.16 / $1,087.16	Professional		$1,087.16	$1,087.16	$1,087.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.50 / $875.50 / $7,227.90	Facility		$875.50	$875.50	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $723.24 / $1,366.12 / $3,008.82	Professional		$723.24	$1,366.12	$3,008.82
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $810.29 / $1,972.49	Facility		$319.00	$810.29	$1,972.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $876.66 / $1,046.42 / $1,566.02	Professional		$876.66	$1,046.42	$1,566.02
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $596.53 / $846.60 / $1,394.40	Professional		$596.53	$846.60	$1,394.40
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $875.50 / $7,227.90	Facility		$555.00	$875.50	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $790.45 / $1,306.22 / $2,776.97	Professional		$790.45	$1,306.22	$2,776.97
United Facility/Professional Facility Modifier Low / Median / High Price $2,337.00 / $4,893.00 / $11,098.00	Facility		$2,337.00	$4,893.00	$11,098.00
United Facility/Professional Professional Modifier Low / Median / High Price $668.22 / $965.06 / $2,386.91	Professional		$668.22	$965.06	$2,386.91
Univera Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $996.00 / $2,733.22	Facility		$996.00	$996.00	$2,733.22
Univera Facility/Professional Professional Modifier Low / Median / High Price $596.53 / $959.09 / $1,626.82	Professional		$596.53	$959.09	$1,626.82