Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,217.43 / $3,917.00 / $9,038.00	Facility		$1,217.43	$3,917.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $764.16 / $1,139.24 / $1,795.19	Professional		$764.16	$1,139.24	$1,795.19
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 $701.11 / $908.65 / $2,276.10	Professional		$701.11	$908.65	$2,276.10
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,321.47 / $1,716.00 / $6,213.00	Facility		$1,321.47	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,321.47 / $1,321.47 / $1,321.47	Professional		$1,321.47	$1,321.47	$1,321.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,063.55 / $1,063.55 / $4,612.43	Facility		$1,063.55	$1,063.55	$4,612.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $810.41 / $1,616.60 / $3,650.92	Professional		$810.41	$1,616.60	$3,650.92
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,405.00 / $2,390.04	Facility		$319.00	$1,405.00	$2,390.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,062.24 / $1,268.72 / $1,898.71	Professional		$1,062.24	$1,268.72	$1,898.71
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $730.82 / $1,026.65 / $1,690.94	Professional		$730.82	$1,026.65	$1,690.94
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,063.55 / $4,612.43	Facility		$555.00	$1,063.55	$4,612.43
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $961.69 / $1,582.74 / $3,375.67	Professional		$961.69	$1,582.74	$3,375.67
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 $829.79 / $1,138.89 / $2,902.17	Professional		$829.79	$1,138.89	$2,902.17
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,207.82 / $1,207.82 / $3,243.06	Facility		$1,207.82	$1,207.82	$3,243.06
Univera Facility/Professional Professional Modifier Low / Median / High Price $730.82 / $1,163.06 / $1,972.80	Professional		$730.82	$1,163.06	$1,972.80