Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $879.51 / $4,792.00 / $10,526.00	Facility		$879.51	$4,792.00	$10,526.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $565.32 / $766.00 / $1,213.97	Professional		$565.32	$766.00	$1,213.97
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 $502.06 / $656.30 / $1,494.42	Professional		$502.06	$656.30	$1,494.42
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $898.12 / $2,390.00 / $10,957.50	Facility		$898.12	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $898.12 / $898.12 / $898.12	Professional		$898.12	$898.12	$898.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $713.57 / $713.57 / $2,203.26	Facility		$713.57	$713.57	$2,203.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $521.13 / $780.19 / $1,800.96	Professional		$521.13	$780.19	$1,800.96
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $672.29 / $1,624.41	Facility		$332.00	$672.29	$1,624.41
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $705.37 / $865.69 / $1,344.58	Professional		$705.37	$865.69	$1,344.58
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $327.49 / $607.45 / $1,353.76	Professional		$327.49	$607.45	$1,353.76
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $713.57 / $74,999.25	Facility		$555.00	$713.57	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $532.79 / $812.85 / $1,800.96	Professional		$532.79	$812.85	$1,800.96
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 $520.88 / $718.40 / $1,456.89	Professional		$520.88	$718.40	$1,456.89
Univera Facility/Professional Facility Modifier Low / Median / High Price $872.45 / $872.45 / $1,791.37	Facility		$872.45	$872.45	$1,791.37
Univera Facility/Professional Professional Modifier Low / Median / High Price $327.49 / $872.45 / $1,725.12	Professional		$327.49	$872.45	$1,725.12