Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,127.80 / $3,938.00 / $9,038.00	Facility		$1,127.80	$3,938.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $712.44 / $1,062.63 / $1,849.08	Professional		$712.44	$1,062.63	$1,849.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,100.00 / $7,264.00 / $12,274.00	Facility		$4,100.00	$7,264.00	$12,274.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $655.09 / $847.71 / $2,127.27	Professional		$655.09	$847.71	$2,127.27
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,232.45 / $1,716.00 / $6,213.00	Facility		$1,232.45	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,232.45 / $1,232.45 / $1,232.45	Professional		$1,232.45	$1,232.45	$1,232.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $992.26 / $992.26 / $4,612.43	Facility		$992.26	$992.26	$4,612.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $755.20 / $1,521.00 / $3,409.12	Professional		$755.20	$1,521.00	$3,409.12
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,090.00 / $2,235.26	Facility		$319.00	$1,090.00	$2,235.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $993.45 / $1,185.64 / $1,774.37	Professional		$993.45	$1,185.64	$1,774.37
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $678.32 / $1,062.98 / $1,579.62	Professional		$678.32	$1,062.98	$1,579.62
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $992.26 / $4,612.43	Facility		$555.00	$992.26	$4,612.43
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $896.37 / $1,480.24 / $3,149.54	Professional		$896.37	$1,480.24	$3,149.54
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,735.00 / $11,176.00	Facility		$2,264.00	$5,735.00	$11,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $715.74 / $1,061.92 / $2,706.77	Professional		$715.74	$1,061.92	$2,706.77
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,128.30 / $1,128.30 / $3,022.23	Facility		$1,128.30	$1,128.30	$3,022.23
Univera Facility/Professional Professional Modifier Low / Median / High Price $678.32 / $1,128.30 / $1,842.91	Professional		$678.32	$1,128.30	$1,842.91