Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $623.42 / $4,392.00 / $11,396.00	Facility		$623.42	$4,392.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $471.76 / $590.01 / $1,141.88	Professional		$471.76	$590.01	$1,141.88
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 $413.61 / $540.66 / $1,258.34	Professional		$413.61	$540.66	$1,258.34
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $725.01 / $725.01 / $8,917.50	Facility		$725.01	$725.01	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $725.01 / $725.01 / $725.01	Professional		$725.01	$725.01	$725.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $586.41 / $586.41 / $586.41	Facility		$586.41	$586.41	$586.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $494.37 / $817.66 / $2,257.17	Professional		$494.37	$817.66	$2,257.17
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $594.00 / $1,397.99	Facility		$332.00	$594.00	$1,397.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $560.76 / $808.15 / $1,199.17	Professional		$560.76	$808.15	$1,199.17
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $481.55 / $481.55 / $481.55	Facility		$481.55	$481.55	$481.55
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $422.30 / $596.91 / $1,084.20	Professional		$422.30	$596.91	$1,084.20
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $586.41 / $36,596.00	Facility		$555.00	$586.41	$36,596.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $528.13 / $817.66 / $2,133.37	Professional		$528.13	$817.66	$2,133.37
United Facility/Professional Facility Modifier Low / Median / High Price $1,768.00 / $3,961.00 / $8,312.00	Facility		$1,768.00	$3,961.00	$8,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $467.16 / $728.08 / $1,688.87	Professional		$467.16	$728.08	$1,688.87
Univera Facility/Professional Facility Modifier Low / Median / High Price $596.91 / $596.91 / $2,298.77	Facility		$596.91	$596.91	$2,298.77
Univera Facility/Professional Professional Modifier Low / Median / High Price $422.30 / $660.30 / $1,299.21	Professional		$422.30	$660.30	$1,299.21