Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $806.35 / $3,951.00 / $10,170.00	Facility		$806.35	$3,951.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $541.96 / $671.36 / $1,300.97	Professional		$541.96	$671.36	$1,300.97
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 $446.67 / $583.89 / $1,438.77	Professional		$446.67	$583.89	$1,438.77
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $836.83 / $1,716.00 / $6,213.00	Facility		$836.83	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $836.83 / $836.83 / $836.83	Professional		$836.83	$836.83	$836.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $669.01 / $669.01 / $14,648.00	Facility		$669.01	$669.01	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $556.35 / $949.49 / $2,491.75	Professional		$556.35	$949.49	$2,491.75
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $185.00 / $332.00 / $1,554.30	Facility		$185.00	$332.00	$1,554.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $635.15 / $901.17 / $1,333.24	Professional		$635.15	$901.17	$1,333.24
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $545.41 / $545.41 / $545.41	Facility		$545.41	$545.41	$545.41
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $488.82 / $676.71 / $1,229.14	Professional		$488.82	$676.71	$1,229.14
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 $572.53 / $951.13 / $2,343.37	Professional		$572.53	$951.13	$2,343.37
United Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,826.00 / $5,412.00	Facility		$964.00	$2,826.00	$5,412.00
United Facility/Professional Professional Modifier Low / Median / High Price $531.30 / $824.13 / $1,940.36	Professional		$531.30	$824.13	$1,940.36
Univera Facility/Professional Facility Modifier Low / Median / High Price $676.71 / $676.71 / $2,976.32	Facility		$676.71	$676.71	$2,976.32
Univera Facility/Professional Professional Modifier Low / Median / High Price $515.60 / $708.47 / $1,472.88	Professional		$515.60	$708.47	$1,472.88