Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $565.23 / $4,640.82 / $10,526.00	Facility		$565.23	$4,640.82	$10,526.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $421.79 / $535.84 / $787.02	Professional		$421.79	$535.84	$787.02
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 $340.17 / $444.67 / $1,020.13	Professional		$340.17	$444.67	$1,020.13
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $585.22 / $2,390.00 / $10,957.50	Facility		$585.22	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $585.22 / $585.22 / $585.22	Professional		$585.22	$585.22	$585.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $471.48 / $471.48 / $6,511.02	Facility		$471.48	$471.48	$6,511.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $391.31 / $721.29 / $1,628.45	Professional		$391.31	$721.29	$1,628.45
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $250.00 / $440.44 / $1,072.46	Facility		$250.00	$440.44	$1,072.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $476.65 / $566.99 / $848.54	Professional		$476.65	$566.99	$848.54
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $339.63 / $503.49 / $761.17	Professional		$339.63	$503.49	$761.17
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $471.48 / $555.00 / $6,511.02	Facility		$471.48	$555.00	$6,511.02
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $425.35 / $710.21 / $1,499.04	Professional		$425.35	$710.21	$1,499.04
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 $330.30 / $510.96 / $1,287.31	Professional		$330.30	$510.96	$1,287.31
Univera Facility/Professional Facility Modifier Low / Median / High Price $555.39 / $555.39 / $1,377.66	Facility		$555.39	$555.39	$1,377.66
Univera Facility/Professional Professional Modifier Low / Median / High Price $345.84 / $555.39 / $881.05	Professional		$345.84	$555.39	$881.05