Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,508.00 / $4,043.00 / $9,661.00	Facility		$1,508.00	$4,043.00	$9,661.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.27 / $91.48 / $116.00	Professional		$65.27	$91.48	$116.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,248.00 / $5,196.00 / $11,909.00	Facility		$3,248.00	$5,196.00	$11,909.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.71 / $45.59 / $84.16	Professional		$36.71	$45.59	$84.16
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $131.31 / $131.31 / $12,319.50	Facility		$131.31	$131.31	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $131.31 / $131.31 / $131.31	Professional		$131.31	$131.31	$131.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.58 / $102.58 / $102.58	Facility		$102.58	$102.58	$102.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.65 / $427.20 / $427.20	Professional		$85.65	$427.20	$427.20
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $115.26 / $227.20 / $346.00	Facility		$115.26	$227.20	$346.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $119.01 / $157.79 / $232.74	Professional		$119.01	$157.79	$232.74
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $96.05 / $96.05 / $96.05	Facility		$96.05	$96.05	$96.05
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.05 / $144.08 / $211.79	Professional		$96.05	$144.08	$211.79
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $102.58 / $555.00 / $597.00	Facility		$102.58	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $85.65 / $427.20 / $427.20	Professional		$85.65	$427.20	$427.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,252.00 / $2,597.00 / $4,715.00	Facility		$1,252.00	$2,597.00	$4,715.00
United Facility/Professional Professional Modifier Low / Median / High Price $84.13 / $120.06 / $275.94	Professional		$84.13	$120.06	$275.94
Univera Facility/Professional Facility Modifier Low / Median / High Price $96.05 / $96.05 / $96.05	Facility		$96.05	$96.05	$96.05
Univera Facility/Professional Professional Modifier Low / Median / High Price $96.05 / $96.05 / $211.79	Professional		$96.05	$96.05	$211.79