Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,127.20 / $5,636.75 / $14,113.00	Facility		$1,127.20	$5,636.75	$14,113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $709.12 / $1,008.12 / $1,593.01	Professional		$709.12	$1,008.12	$1,593.01
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 $596.77 / $769.04 / $2,070.52	Professional		$596.77	$769.04	$2,070.52
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,156.46 / $1,156.46 / $10,957.50	Facility		$1,156.46	$1,156.46	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,156.46 / $1,156.46 / $1,156.46	Professional		$1,156.46	$1,156.46	$1,156.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $930.52 / $7,227.90 / $39,142.00	Facility		$930.52	$7,227.90	$39,142.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $814.67 / $1,394.45 / $2,938.80	Professional		$814.67	$1,394.45	$2,938.80
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $985.15 / $3,081.26	Facility		$319.00	$985.15	$3,081.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $942.61 / $1,098.82 / $1,644.45	Professional		$942.61	$1,098.82	$1,644.45
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $663.36 / $874.61 / $1,490.60	Professional		$663.36	$874.61	$1,490.60
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $930.52 / $39,142.00	Facility		$597.00	$930.52	$39,142.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $720.69 / $1,285.90 / $2,807.49	Professional		$720.69	$1,285.90	$2,807.49
United Facility/Professional Facility Modifier Low / Median / High Price $2,444.00 / $6,762.00 / $16,403.00	Facility		$2,444.00	$6,762.00	$16,403.00
United Facility/Professional Professional Modifier Low / Median / High Price $726.41 / $1,101.22 / $2,153.00	Professional		$726.41	$1,101.22	$2,153.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $931.06 / $931.06 / $1,309.16	Facility		$931.06	$931.06	$1,309.16
Univera Facility/Professional Professional Modifier Low / Median / High Price $721.46 / $931.06 / $1,644.19	Professional		$721.46	$931.06	$1,644.19