Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,644.80 / $5,224.00 / $11,396.00	Facility		$1,644.80	$5,224.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,128.01 / $1,581.38 / $3,382.04	Professional		$1,128.01	$1,581.38	$3,382.04
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 $1,036.03 / $1,354.30 / $2,989.52	Professional		$1,036.03	$1,354.30	$2,989.52
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,857.08 / $2,644.00 / $12,319.50	Facility		$1,857.08	$2,644.00	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,857.08 / $1,857.08 / $1,857.08	Professional		$1,857.08	$1,857.08	$1,857.08
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,379.68 / $3,331.04	Facility		$332.00	$1,379.68	$3,331.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,446.99 / $1,793.58 / $2,759.36	Professional		$1,446.99	$1,793.58	$2,759.36
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $855.56 / $1,227.57 / $2,784.72	Professional		$855.56	$1,227.57	$2,784.72
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $74,999.25	Facility		$555.00	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,343.56 / $1,687.91 / $3,328.08	Professional		$1,343.56	$1,687.91	$3,328.08
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,731.00 / $12,509.00	Facility		$2,264.00	$5,731.00	$12,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,092.32 / $1,445.79 / $2,960.64	Professional		$1,092.32	$1,445.79	$2,960.64
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,794.65 / $1,794.65 / $4,117.74	Facility		$1,794.65	$1,794.65	$4,117.74
Univera Facility/Professional Professional Modifier Low / Median / High Price $855.56 / $1,794.65 / $3,659.15	Professional		$855.56	$1,794.65	$3,659.15