Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $377.94 / $3,316.00 / $8,020.00	Facility		$377.94	$3,316.00	$8,020.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.65 / $364.29 / $781.14	Professional		$240.65	$364.29	$781.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,382.00 / $4,707.00	Facility		$1,691.00	$3,382.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $282.55 / $389.33 / $846.87	Professional		$282.55	$389.33	$846.87
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $396.80 / $1,716.00 / $6,213.00	Facility		$396.80	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $396.80 / $396.80 / $618.34	Professional		$396.80	$396.80	$618.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.57 / $478.57 / $478.57	Facility		$478.57	$478.57	$478.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $235.85 / $497.06 / $1,033.25	Professional		$235.85	$497.06	$1,033.25
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $230.00 / $332.00 / $748.78	Facility		$230.00	$332.00	$748.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $510.30 / $591.49 / $1,256.32	Professional		$510.30	$591.49	$1,256.32
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $326.86 / $402.15 / $797.23	Professional		$326.86	$402.15	$797.23
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $478.57 / $555.00 / $74,999.25	Facility		$478.57	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $306.98 / $544.77 / $1,195.83	Professional		$306.98	$544.77	$1,195.83
United Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,826.00 / $4,851.00	Facility		$964.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $293.31 / $508.99 / $1,157.70	Professional		$293.31	$508.99	$1,157.70
Univera Facility/Professional Facility Modifier Low / Median / High Price $300.95 / $300.95 / $971.84	Facility		$300.95	$300.95	$971.84
Univera Facility/Professional Professional Modifier Low / Median / High Price $326.86 / $463.19 / $910.84	Professional		$326.86	$463.19	$910.84