Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $950.24 / $4,043.00 / $12,592.00	Facility		$950.24	$4,043.00	$12,592.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $663.29 / $844.80 / $1,851.84	Professional		$663.29	$844.80	$1,851.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,046.00 / $7,264.00 / $12,538.00	Facility		$4,046.00	$7,264.00	$12,538.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $546.04 / $713.79 / $1,744.01	Professional		$546.04	$713.79	$1,744.01
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,048.27 / $1,716.00 / $6,213.00	Facility		$1,048.27	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,048.27 / $1,048.27 / $1,048.27	Professional		$1,048.27	$1,048.27	$1,048.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $847.01 / $847.01 / $847.01	Facility		$847.01	$847.01	$847.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $702.23 / $1,171.42 / $3,088.77	Professional		$702.23	$1,171.42	$3,088.77
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $803.32 / $1,977.64	Facility		$332.00	$803.32	$1,977.64
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $819.67 / $1,151.06 / $1,696.37	Professional		$819.67	$1,151.06	$1,696.37
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $703.88 / $703.88 / $703.88	Facility		$703.88	$703.88	$703.88
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $608.66 / $869.32 / $1,578.97	Professional		$608.66	$869.32	$1,578.97
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $36,596.00	Facility		$555.00	$597.00	$36,596.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $751.45 / $1,145.17 / $2,988.96	Professional		$751.45	$1,145.17	$2,988.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,963.00 / $15,611.00	Facility		$2,264.00	$5,963.00	$15,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $660.56 / $1,024.93 / $2,535.23	Professional		$660.56	$1,024.93	$2,535.23
Univera Facility/Professional Facility Modifier Low / Median / High Price $869.32 / $869.32 / $2,491.26	Facility		$869.32	$869.32	$2,491.26
Univera Facility/Professional Professional Modifier Low / Median / High Price $621.20 / $965.17 / $1,892.09	Professional		$621.20	$965.17	$1,892.09