Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.77 / $2,952.00 / $9,038.00	Facility		$227.77	$2,952.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.96 / $227.77 / $430.83	Professional		$148.96	$227.77	$430.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $3,373.00 / $4,707.00	Facility		$1,689.00	$3,373.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $236.15 / $295.24 / $606.41	Professional		$236.15	$295.24	$606.41
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $235.80 / $1,254.00 / $4,050.00	Facility		$235.80	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $235.80 / $235.80 / $429.65	Professional		$235.80	$235.80	$429.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $284.08 / $284.08 / $284.08	Facility		$284.08	$284.08	$284.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.45 / $354.87 / $855.74	Professional		$176.45	$354.87	$855.74
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $186.00 / $262.00 / $610.00	Facility		$186.00	$262.00	$610.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $177.91 / $283.38 / $607.54	Professional		$177.91	$283.38	$607.54
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $277.58 / $277.58 / $277.58	Facility		$277.58	$277.58	$277.58
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $192.78 / $305.87 / $634.78	Professional		$192.78	$305.87	$634.78
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $284.08 / $555.00 / $597.00	Facility		$284.08	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $179.00 / $369.55 / $861.08	Professional		$179.00	$369.55	$861.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.00 / $3,496.00 / $6,201.00	Facility		$1,348.00	$3,496.00	$6,201.00
United Facility/Professional Professional Modifier Low / Median / High Price $246.45 / $346.99 / $846.04	Professional		$246.45	$346.99	$846.04
Univera Facility/Professional Facility Modifier Low / Median / High Price $202.29 / $202.29 / $589.89	Facility		$202.29	$202.29	$589.89
Univera Facility/Professional Professional Modifier Low / Median / High Price $202.29 / $386.85 / $634.78	Professional		$202.29	$386.85	$634.78