Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $914.98 / $3,951.00 / $10,170.00	Facility		$914.98	$3,951.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.84 / $777.39 / $1,836.05	Professional		$630.84	$777.39	$1,836.05
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 $517.10 / $675.96 / $1,640.29	Professional		$517.10	$675.96	$1,640.29
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $968.50 / $1,716.00 / $6,213.00	Facility		$968.50	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $968.50 / $968.50 / $968.50	Professional		$968.50	$968.50	$968.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $774.06 / $774.06 / $14,648.00	Facility		$774.06	$774.06	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $644.21 / $1,099.45 / $2,911.17	Professional		$644.21	$1,099.45	$2,911.17
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $820.61 / $1,797.30	Facility		$319.00	$820.61	$1,797.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $735.08 / $1,042.25 / $1,541.68	Professional		$735.08	$1,042.25	$1,541.68
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $631.24 / $631.24 / $631.24	Facility		$631.24	$631.24	$631.24
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $548.28 / $783.07 / $1,422.32	Professional		$548.28	$783.07	$1,422.32
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 $662.46 / $1,099.45 / $2,721.41	Professional		$662.46	$1,099.45	$2,721.41
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 $639.24 / $956.27 / $2,195.30	Professional		$639.24	$956.27	$2,195.30
Univera Facility/Professional Facility Modifier Low / Median / High Price $783.07 / $783.07 / $3,418.70	Facility		$783.07	$783.07	$3,418.70
Univera Facility/Professional Professional Modifier Low / Median / High Price $601.62 / $865.55 / $1,704.37	Professional		$601.62	$865.55	$1,704.37