Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $5,298.00 / $10,170.00	Facility		$1,819.00	$5,298.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.36 / $213.46 / $242.23	Professional		$138.36	$213.46	$242.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,333.00 / $4,636.00	Facility		$1,691.00	$3,333.00	$4,636.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.83 / $190.06 / $367.88	Professional		$156.83	$190.06	$367.88
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $273.63 / $273.63 / $273.63	Facility		$273.63	$273.63	$273.63
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $273.63 / $273.63 / $273.63	Professional		$273.63	$273.63	$273.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $217.50 / $217.50 / $3,479.91	Facility		$217.50	$217.50	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.71 / $905.82 / $905.82	Professional		$207.71	$905.82	$905.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,248.76 / $2,248.76 / $2,248.76	Professional		$2,248.76	$2,248.76	$2,248.76
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $178.67 / $223.64 / $385.60	Professional		$178.67	$223.64	$385.60
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $217.50 / $555.00 / $3,479.91	Facility		$217.50	$555.00	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $207.71 / $905.82 / $905.82	Professional		$207.71	$905.82	$905.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,768.00 / $4,176.00 / $8,312.00	Facility		$1,768.00	$4,176.00	$8,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $118.10 / $223.60 / $595.88	Professional		$118.10	$223.60	$595.88
Univera Facility/Professional Facility Modifier Low / Median / High Price $183.81 / $183.81 / $183.81	Facility		$183.81	$183.81	$183.81
Univera Facility/Professional Professional Modifier Low / Median / High Price $183.81 / $223.64 / $385.60	Professional		$183.81	$223.64	$385.60