Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $670.61 / $4,648.00 / $10,152.00	Facility		$670.61	$4,648.00	$10,152.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $430.06 / $580.54 / $1,251.49	Professional		$430.06	$580.54	$1,251.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,217.00 / $5,196.00 / $11,909.00	Facility		$3,217.00	$5,196.00	$11,909.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $381.32 / $498.46 / $1,139.34	Professional		$381.32	$498.46	$1,139.34
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $686.37 / $1,990.00 / $8,917.50	Facility		$686.37	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $686.37 / $686.37 / $686.37	Professional		$686.37	$686.37	$686.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $542.53 / $542.53 / $2,203.26	Facility		$542.53	$542.53	$2,203.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $397.31 / $597.76 / $1,366.40	Professional		$397.31	$597.76	$1,366.40
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $546.04 / $1,228.58	Facility		$332.00	$546.04	$1,228.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $533.63 / $655.25 / $1,017.52	Professional		$533.63	$655.25	$1,017.52
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $249.46 / $461.33 / $1,029.82	Professional		$249.46	$461.33	$1,029.82
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $542.53 / $597.00 / $74,999.25	Facility		$542.53	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $406.31 / $621.91 / $1,366.40	Professional		$406.31	$621.91	$1,366.40
United Facility/Professional Facility Modifier Low / Median / High Price $2,063.00 / $5,191.00 / $11,098.00	Facility		$2,063.00	$5,191.00	$11,098.00
United Facility/Professional Professional Modifier Low / Median / High Price $401.32 / $546.04 / $1,101.85	Professional		$401.32	$546.04	$1,101.85
Univera Facility/Professional Facility Modifier Low / Median / High Price $663.68 / $663.68 / $1,344.97	Facility		$663.68	$663.68	$1,344.97
Univera Facility/Professional Professional Modifier Low / Median / High Price $249.46 / $663.68 / $1,313.20	Professional		$249.46	$663.68	$1,313.20