Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $459.69 / $3,490.00 / $8,134.00	Facility		$459.69	$3,490.00	$8,134.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $307.07 / $358.89 / $732.53	Professional		$307.07	$358.89	$732.53
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 $264.85 / $346.22 / $807.71	Professional		$264.85	$346.22	$807.71
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $483.71 / $1,254.00 / $4,050.00	Facility		$483.71	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $483.71 / $483.71 / $483.71	Professional		$483.71	$483.71	$483.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $396.91 / $396.91 / $396.91	Facility		$396.91	$396.91	$396.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $337.07 / $512.12 / $1,285.36	Professional		$337.07	$512.12	$1,285.36
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $449.00 / $935.64	Facility		$332.00	$449.00	$935.64
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $382.24 / $543.51 / $802.57	Professional		$382.24	$543.51	$802.57
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $328.24 / $328.24 / $328.24	Facility		$328.24	$328.24	$328.24
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $277.02 / $417.68 / $736.79	Professional		$277.02	$417.68	$736.79
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $396.91 / $555.00 / $597.00	Facility		$396.91	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $353.46 / $518.78 / $1,191.09	Professional		$353.46	$518.78	$1,191.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,768.00 / $3,961.00 / $8,312.00	Facility		$1,768.00	$3,961.00	$8,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $301.41 / $436.21 / $1,044.45	Professional		$301.41	$436.21	$1,044.45
Univera Facility/Professional Facility Modifier Low / Median / High Price $417.68 / $417.68 / $1,488.73	Facility		$417.68	$417.68	$1,488.73
Univera Facility/Professional Professional Modifier Low / Median / High Price $284.02 / $457.43 / $882.90	Professional		$284.02	$457.43	$882.90