Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.00 / $3,951.00 / $10,170.00	Facility		$645.00	$3,951.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $422.31 / $529.33 / $1,139.79	Professional		$422.31	$529.33	$1,139.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,385.00 / $4,133.00 / $9,074.00	Facility		$2,385.00	$4,133.00	$9,074.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.88 / $486.13 / $1,072.92	Professional		$371.88	$486.13	$1,072.92
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $710.04 / $1,716.00 / $6,213.00	Facility		$710.04	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $710.04 / $710.04 / $710.04	Professional		$710.04	$710.04	$710.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $592.57 / $592.57 / $592.57	Facility		$592.57	$592.57	$592.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $464.16 / $761.22 / $2,064.39	Professional		$464.16	$761.22	$2,064.39
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $630.00 / $1,454.72	Facility		$332.00	$630.00	$1,454.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $561.47 / $810.01 / $1,247.82	Professional		$561.47	$810.01	$1,247.82
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $482.15 / $482.15 / $482.15	Facility		$482.15	$482.15	$482.15
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $348.64 / $597.20 / $1,084.72	Professional		$348.64	$597.20	$1,084.72
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $592.57 / $36,596.00	Facility		$555.00	$592.57	$36,596.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $495.81 / $775.77 / $1,983.69	Professional		$495.81	$775.77	$1,983.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,883.00 / $3,682.00 / $7,355.00	Facility		$1,883.00	$3,682.00	$7,355.00
United Facility/Professional Professional Modifier Low / Median / High Price $435.83 / $686.01 / $1,674.57	Professional		$435.83	$686.01	$1,674.57
Univera Facility/Professional Facility Modifier Low / Median / High Price $597.20 / $597.20 / $1,721.29	Facility		$597.20	$597.20	$1,721.29
Univera Facility/Professional Professional Modifier Low / Median / High Price $401.26 / $661.13 / $1,299.82	Professional		$401.26	$661.13	$1,299.82