Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,321.00 / $4,029.00 / $9,267.00	Facility		$1,321.00	$4,029.00	$9,267.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.11 / $288.77 / $551.49	Professional		$206.11	$288.77	$551.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,385.00 / $4,133.00 / $9,074.00	Facility		$2,385.00	$4,133.00	$9,074.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $978.00 / $1,173.59 / $2,066.69	Professional		$978.00	$1,173.59	$2,066.69
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $846.52 / $846.52 / $6,213.00	Facility		$846.52	$846.52	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $846.52 / $846.52 / $846.52	Professional		$846.52	$846.52	$846.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $408.88 / $408.88 / $1,001.71	Facility		$408.88	$408.88	$1,001.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $540.82 / $540.82 / $540.82	Professional		$540.82	$540.82	$540.82
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $933.24 / $1,569.60	Facility		$319.00	$933.24	$1,569.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $661.75 / $782.07 / $1,216.69	Professional		$661.75	$782.07	$1,216.69
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $427.35 / $743.21 / $1,205.01	Professional		$427.35	$743.21	$1,205.01
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $408.88 / $597.00 / $74,999.25	Facility		$408.88	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $540.82 / $540.82 / $540.82	Professional		$540.82	$540.82	$540.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $3,496.00 / $5,828.00	Facility		$1,282.00	$3,496.00	$5,828.00
United Facility/Professional Professional Modifier Low / Median / High Price $455.16 / $598.97 / $1,593.30	Professional		$455.16	$598.97	$1,593.30
Univera Facility/Professional Facility Modifier Low / Median / High Price $575.72 / $575.72 / $575.72	Facility		$575.72	$575.72	$575.72
Univera Facility/Professional Professional Modifier Low / Median / High Price $464.51 / $575.72 / $1,054.71	Professional		$464.51	$575.72	$1,054.71