Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,350.19 / $2,362.83 / $4,016.81	Facility		$1,350.19	$2,362.83	$4,016.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $728.00 / $1,053.15 / $1,566.22	Professional		$728.00	$1,053.15	$1,566.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,350.19 / $1,350.19 / $3,510.49	Facility		$1,350.19	$1,350.19	$3,510.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $540.08 / $823.61 / $2,468.15	Professional		$540.08	$823.61	$2,468.15
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $810.11 / $1,350.19 / $1,350.19	Facility		$810.11	$1,350.19	$1,350.19
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $985.64 / $1,350.19 / $1,350.19	Professional		$985.64	$1,350.19	$1,350.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $943.47 / $2,734.62 / $3,504.13	Facility		$943.47	$2,734.62	$3,504.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $813.58 / $1,914.45 / $6,507.92	Professional		$813.58	$1,914.45	$6,507.92
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,755.25 / $3,037.93	Facility		$319.00	$1,755.25	$3,037.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $621.09 / $1,080.15 / $2,470.85	Professional		$621.09	$1,080.15	$2,470.85
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $892.97 / $1,282.68 / $1,615.00	Professional		$892.97	$1,282.68	$1,615.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $2,852.27 / $3,504.13	Facility		$555.00	$2,852.27	$3,504.13
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $640.00 / $1,521.96 / $4,050.57	Professional		$640.00	$1,521.96	$4,050.57
United Facility/Professional Professional Modifier Low / Median / High Price $567.08 / $810.11 / $2,025.29	Professional		$567.08	$810.11	$2,025.29
Univera Facility/Professional Facility Modifier Low / Median / High Price $47.30 / $1,431.20 / $1,431.20	Facility		$47.30	$1,431.20	$1,431.20
Univera Facility/Professional Professional Modifier Low / Median / High Price $866.71 / $1,333.49 / $1,589.17	Professional		$866.71	$1,333.49	$1,589.17