Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $735.13 / $3,978.00 / $9,038.00	Facility		$735.13	$3,978.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $555.13 / $597.08 / $1,192.01	Professional		$555.13	$597.08	$1,192.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,402.00 / $4,233.00 / $9,153.00	Facility		$2,402.00	$4,233.00	$9,153.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.12 / $549.13 / $1,346.54	Professional		$426.12	$549.13	$1,346.54
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $810.67 / $810.67 / $37,499.62	Facility		$810.67	$810.67	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $810.67 / $810.67 / $810.67	Professional		$810.67	$810.67	$810.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $665.44 / $665.44 / $7,227.90	Facility		$665.44	$665.44	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.29 / $951.39 / $2,186.15	Professional		$630.29	$951.39	$2,186.15
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,185.00 / $1,896.00	Facility		$319.00	$1,185.00	$1,896.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $687.08 / $774.78 / $1,220.22	Professional		$687.08	$774.78	$1,220.22
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.80 / $624.69 / $1,051.18	Professional		$467.80	$624.69	$1,051.18
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $665.44 / $7,227.90	Facility		$555.00	$665.44	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $672.00 / $1,013.00 / $2,113.87	Professional		$672.00	$1,013.00	$2,113.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $4,754.00 / $12,945.00	Facility		$1,749.00	$4,754.00	$12,945.00
United Facility/Professional Professional Modifier Low / Median / High Price $561.04 / $794.43 / $1,769.12	Professional		$561.04	$794.43	$1,769.12
Univera Facility/Professional Facility Modifier Low / Median / High Price $624.69 / $624.69 / $2,020.26	Facility		$624.69	$624.69	$2,020.26
Univera Facility/Professional Professional Modifier Low / Median / High Price $470.78 / $692.62 / $1,213.56	Professional		$470.78	$692.62	$1,213.56