Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $768.45 / $4,792.00 / $10,526.00	Facility		$768.45	$4,792.00	$10,526.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $466.86 / $655.52 / $1,467.99	Professional		$466.86	$655.52	$1,467.99
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 $428.47 / $560.10 / $1,258.58	Professional		$428.47	$560.10	$1,258.58
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $798.16 / $2,390.00 / $10,957.50	Facility		$798.16	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $798.16 / $798.16 / $798.16	Professional		$798.16	$798.16	$798.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $637.53 / $637.53 / $1,424.38	Facility		$637.53	$637.53	$1,424.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $449.77 / $687.77 / $1,569.96	Professional		$449.77	$687.77	$1,569.96
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $637.91 / $1,450.87	Facility		$332.00	$637.91	$1,450.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $644.83 / $770.82 / $1,200.24	Professional		$644.83	$770.82	$1,200.24
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $425.28 / $531.60 / $1,124.68	Professional		$425.28	$531.60	$1,124.68
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $637.53 / $74,999.25	Facility		$555.00	$637.53	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $470.15 / $727.34 / $1,538.60	Professional		$470.15	$727.34	$1,538.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,652.00 / $4,370.00 / $9,187.00	Facility		$1,652.00	$4,370.00	$9,187.00
United Facility/Professional Professional Modifier Low / Median / High Price $470.82 / $629.37 / $1,386.38	Professional		$470.82	$629.37	$1,386.38
Univera Facility/Professional Facility Modifier Low / Median / High Price $778.77 / $778.77 / $1,544.56	Facility		$778.77	$778.77	$1,544.56
Univera Facility/Professional Professional Modifier Low / Median / High Price $425.28 / $778.77 / $1,448.02	Professional		$425.28	$778.77	$1,448.02