Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $902.73 / $4,442.00 / $10,024.00	Facility		$902.73	$4,442.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $620.41 / $856.68 / $1,395.02	Professional		$620.41	$856.68	$1,395.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,100.00 / $7,264.00 / $12,697.00	Facility		$4,100.00	$7,264.00	$12,697.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $549.79 / $718.68 / $1,752.77	Professional		$549.79	$718.68	$1,752.77
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,007.68 / $1,007.68 / $37,499.62	Facility		$1,007.68	$1,007.68	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,007.68 / $1,007.68 / $1,007.68	Professional		$1,007.68	$1,007.68	$1,007.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $811.14 / $811.14 / $7,227.90	Facility		$811.14	$811.14	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $693.58 / $1,230.14 / $2,564.88	Professional		$693.58	$1,230.14	$2,564.88
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $820.00 / $1,852.20	Facility		$319.00	$820.00	$1,852.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $823.20 / $958.77 / $1,434.85	Professional		$823.20	$958.77	$1,434.85
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $579.88 / $813.89 / $1,303.01	Professional		$579.88	$813.89	$1,303.01
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $811.14 / $7,227.90	Facility		$555.00	$811.14	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $739.18 / $1,226.57 / $2,564.88	Professional		$739.18	$1,226.57	$2,564.88
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 $680.01 / $979.39 / $1,868.72	Professional		$680.01	$979.39	$1,868.72
Univera Facility/Professional Facility Modifier Low / Median / High Price $813.89 / $813.89 / $2,318.84	Facility		$813.89	$813.89	$2,318.84
Univera Facility/Professional Professional Modifier Low / Median / High Price $614.86 / $859.59 / $1,504.29	Professional		$614.86	$859.59	$1,504.29