Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $625.89 / $4,442.00 / $10,024.00	Facility		$625.89	$4,442.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $429.24 / $573.28 / $1,233.58	Professional		$429.24	$573.28	$1,233.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,989.00 / $9,720.00 / $16,411.00	Facility		$4,989.00	$9,720.00	$16,411.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $375.90 / $491.38 / $1,229.97	Professional		$375.90	$491.38	$1,229.97
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $692.57 / $692.57 / $8,917.50	Facility		$692.57	$692.57	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $692.57 / $692.57 / $692.57	Professional		$692.57	$692.57	$692.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $560.21 / $560.21 / $5,246.94	Facility		$560.21	$560.21	$5,246.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $463.53 / $797.28 / $1,980.70	Professional		$463.53	$797.28	$1,980.70
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $733.00 / $1,273.23	Facility		$319.00	$733.00	$1,273.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $565.88 / $672.25 / $1,006.06	Professional		$565.88	$672.25	$1,006.06
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $404.82 / $568.17 / $909.64	Professional		$404.82	$568.17	$909.64
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $560.21 / $5,246.94	Facility		$555.00	$560.21	$5,246.94
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $493.36 / $869.38 / $1,806.12	Professional		$493.36	$869.38	$1,806.12
United Facility/Professional Facility Modifier Low / Median / High Price $2,705.00 / $7,395.00 / $15,839.69	Facility		$2,705.00	$7,395.00	$15,839.69
United Facility/Professional Professional Modifier Low / Median / High Price $478.32 / $656.08 / $1,251.76	Professional		$478.32	$656.08	$1,251.76
Univera Facility/Professional Facility Modifier Low / Median / High Price $568.17 / $568.17 / $1,438.28	Facility		$568.17	$568.17	$1,438.28
Univera Facility/Professional Professional Modifier Low / Median / High Price $418.22 / $602.70 / $1,050.16	Professional		$418.22	$602.70	$1,050.16