Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $383.92 / $1,140.00 / $2,128.00	Facility		$383.92	$1,140.00	$2,128.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $328.14 / $592.79 / $1,048.80	Professional		$328.14	$592.79	$1,048.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $760.00 / $760.00 / $1,976.00	Facility		$760.00	$760.00	$1,976.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $304.00 / $418.00 / $1,433.76	Professional		$304.00	$418.00	$1,433.76
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $456.00 / $760.00 / $760.00	Facility		$456.00	$760.00	$760.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $554.79 / $760.00 / $760.00	Professional		$554.79	$760.00	$760.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $912.00 / $1,605.50 / $2,028.66	Facility		$912.00	$1,605.50	$2,028.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $364.31 / $886.06 / $2,452.01	Professional		$364.31	$886.06	$2,452.01
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $760.00 / $1,710.00	Facility		$332.00	$760.00	$1,710.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $532.00 / $798.00 / $1,390.80	Professional		$532.00	$798.00	$1,390.80
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $607.03 / $722.00 / $1,378.10	Professional		$607.03	$722.00	$1,378.10
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $254.50 / $1,605.50 / $2,028.66	Facility		$254.50	$1,605.50	$2,028.66
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $391.89 / $782.73 / $2,085.30	Professional		$391.89	$782.73	$2,085.30
United Facility/Professional Professional Modifier Low / Median / High Price $319.20 / $422.30 / $1,193.08	Professional		$319.20	$422.30	$1,193.08
Univera Facility/Professional Facility Modifier Low / Median / High Price $805.60 / $805.60 / $817.44	Facility		$805.60	$805.60	$817.44
Univera Facility/Professional Professional Modifier Low / Median / High Price $646.00 / $760.00 / $914.97	Professional		$646.00	$760.00	$914.97