Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $881.99 / $4,828.00 / $10,526.00	Facility		$881.99	$4,828.00	$10,526.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $566.33 / $768.71 / $1,645.97	Professional		$566.33	$768.71	$1,645.97
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 $504.25 / $659.16 / $1,499.88	Professional		$504.25	$659.16	$1,499.88
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $901.55 / $2,390.00 / $10,957.50	Facility		$901.55	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $901.55 / $901.55 / $901.55	Professional		$901.55	$901.55	$901.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $715.44 / $715.44 / $2,203.26	Facility		$715.44	$715.44	$2,203.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $523.03 / $780.97 / $1,809.02	Professional		$523.03	$780.97	$1,809.02
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $674.30 / $1,628.75	Facility		$332.00	$674.30	$1,628.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $707.35 / $868.56 / $1,348.60	Professional		$707.35	$868.56	$1,348.60
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $327.91 / $609.83 / $1,357.55	Professional		$327.91	$609.83	$1,357.55
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $715.44 / $74,999.25	Facility		$555.00	$715.44	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $534.30 / $815.36 / $1,809.02	Professional		$534.30	$815.36	$1,809.02
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 $515.79 / $734.77 / $1,450.23	Professional		$515.79	$734.77	$1,450.23
Univera Facility/Professional Facility Modifier Low / Median / High Price $874.89 / $874.89 / $1,794.02	Facility		$874.89	$874.89	$1,794.02
Univera Facility/Professional Professional Modifier Low / Median / High Price $327.91 / $874.89 / $1,729.90	Professional		$327.91	$874.89	$1,729.90