Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $319.32 / $4,055.00 / $10,170.00	Facility		$319.32	$4,055.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.57 / $493.70 / $1,038.11	Professional		$215.57	$493.70	$1,038.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,131.00 / $9,074.00	Facility		$2,393.00	$4,131.00	$9,074.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $417.98 / $514.94 / $1,315.68	Professional		$417.98	$514.94	$1,315.68
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $626.98 / $754.39 / $1,967.68	Professional	50	$626.98	$754.39	$1,967.68
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $274.14 / $1,716.00 / $6,213.00	Facility		$274.14	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $274.14 / $274.14 / $712.44	Professional		$274.14	$274.14	$712.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $333.48 / $333.48 / $10,297.11	Facility		$333.48	$333.48	$10,297.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.34 / $602.20 / $1,611.67	Professional		$230.34	$602.20	$1,611.67
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $181.51 / $282.00 / $499.05	Facility		$181.51	$282.00	$499.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $534.65 / $727.12 / $1,315.24	Professional		$534.65	$727.12	$1,315.24
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $391.42 / $592.09 / $871.79	Professional		$391.42	$592.09	$871.79
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $333.48 / $555.00 / $74,999.25	Facility		$333.48	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $262.92 / $647.14 / $1,664.36	Professional		$262.92	$647.14	$1,664.36
United Facility/Professional Facility Modifier Low / Median / High Price $2,062.00 / $5,111.00 / $10,452.00	Facility		$2,062.00	$5,111.00	$10,452.00
United Facility/Professional Professional Modifier Low / Median / High Price $506.69 / $658.56 / $1,473.18	Professional		$506.69	$658.56	$1,473.18
Univera Facility/Professional Facility Modifier Low / Median / High Price $228.14 / $228.14 / $346.63	Facility		$228.14	$228.14	$346.63
Univera Facility/Professional Professional Modifier Low / Median / High Price $326.36 / $587.20 / $871.79	Professional		$326.36	$587.20	$871.79