Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $587.08 / $3,938.00 / $9,038.00	Facility		$587.08	$3,938.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $400.08 / $535.47 / $900.15	Professional		$400.08	$535.47	$900.15
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 $348.77 / $449.45 / $1,088.76	Professional		$348.77	$449.45	$1,088.76
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $645.91 / $1,716.00 / $6,213.00	Facility		$645.91	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $645.91 / $645.91 / $645.91	Professional		$645.91	$645.91	$645.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $521.17 / $521.17 / $4,612.43	Facility		$521.17	$521.17	$4,612.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $441.57 / $743.71 / $1,647.24	Professional		$441.57	$743.71	$1,647.24
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $305.00 / $486.84 / $1,198.42	Facility		$305.00	$486.84	$1,198.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $532.63 / $619.34 / $926.87	Professional		$532.63	$619.34	$926.87
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $375.12 / $447.53 / $842.91	Professional		$375.12	$447.53	$842.91
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $521.17 / $555.00 / $4,612.43	Facility		$521.17	$555.00	$4,612.43
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $456.64 / $743.71 / $1,647.24	Professional		$456.64	$743.71	$1,647.24
United Facility/Professional Facility Modifier Low / Median / High Price $2,031.00 / $4,840.00 / $9,202.00	Facility		$2,031.00	$4,840.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $401.40 / $587.05 / $1,182.05	Professional		$401.40	$587.05	$1,182.05
Univera Facility/Professional Facility Modifier Low / Median / High Price $526.50 / $526.50 / $1,348.89	Facility		$526.50	$526.50	$1,348.89
Univera Facility/Professional Professional Modifier Low / Median / High Price $380.56 / $555.28 / $973.11	Professional		$380.56	$555.28	$973.11