Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $617.45 / $4,029.00 / $10,965.00	Facility		$617.45	$4,029.00	$10,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $400.09 / $1,511.06 / $2,813.30	Professional		$400.09	$1,511.06	$2,813.30
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 $1,319.27 / $1,710.81 / $4,592.21	Professional		$1,319.27	$1,710.81	$4,592.21
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $645.66 / $4,275.50 / $16,534.50	Facility		$645.66	$4,275.50	$16,534.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $645.66 / $645.66 / $2,598.44	Professional		$645.66	$645.66	$2,598.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $773.41 / $773.41 / $13,296.25	Facility		$773.41	$773.41	$13,296.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $487.52 / $1,915.89 / $5,677.76	Professional		$487.52	$1,915.89	$5,677.76
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $550.00 / $1,193.72	Facility		$319.00	$550.00	$1,193.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,645.69 / $2,106.36 / $3,346.23	Professional		$1,645.69	$2,106.36	$3,346.23
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $492.80 / $1,877.44 / $3,005.72	Professional		$492.80	$1,877.44	$3,005.72
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $773.41 / $13,296.25	Facility		$555.00	$773.41	$13,296.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $594.83 / $2,379.76 / $6,104.89	Professional		$594.83	$2,379.76	$6,104.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,337.00 / $6,759.00 / $12,742.00	Facility		$2,337.00	$6,759.00	$12,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,662.77 / $2,556.62 / $4,686.79	Professional		$1,662.77	$2,556.62	$4,686.79
Univera Facility/Professional Facility Modifier Low / Median / High Price $525.59 / $525.59 / $1,540.08	Facility		$525.59	$525.59	$1,540.08
Univera Facility/Professional Professional Modifier Low / Median / High Price $492.80 / $1,877.44 / $3,301.34	Professional		$492.80	$1,877.44	$3,301.34