Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.84 / $2,626.00 / $7,563.00	Facility		$105.84	$2,626.00	$7,563.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.29 / $211.74 / $504.37	Professional		$76.29	$211.74	$504.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,366.00 / $4,707.00	Facility		$1,691.00	$3,366.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $178.06 / $227.89 / $622.58	Professional		$178.06	$227.89	$622.58
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $117.16 / $117.16 / $4,050.00	Facility		$117.16	$117.16	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $117.16 / $117.16 / $456.15	Professional		$117.16	$117.16	$456.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.81 / $138.81 / $14,648.00	Facility		$138.81	$138.81	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.92 / $265.25 / $789.72	Professional		$85.92	$265.25	$789.72
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $96.00 / $138.77 / $332.00	Facility		$96.00	$138.77	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $312.70 / $423.90 / $635.85	Professional		$312.70	$423.90	$635.85
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $219.59 / $373.81 / $640.16	Professional		$219.59	$373.81	$640.16
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $138.81 / $138.81 / $597.00	Facility		$138.81	$138.81	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $320.94 / $789.72	Professional		$89.13	$320.94	$789.72
United Facility/Professional Facility Modifier Low / Median / High Price $1,079.00 / $2,884.00 / $4,840.00	Facility		$1,079.00	$2,884.00	$4,840.00
United Facility/Professional Professional Modifier Low / Median / High Price $279.99 / $380.87 / $905.29	Professional		$279.99	$380.87	$905.29
Univera Facility/Professional Facility Modifier Low / Median / High Price $97.15 / $97.15 / $386.10	Facility		$97.15	$97.15	$386.10
Univera Facility/Professional Professional Modifier Low / Median / High Price $209.75 / $323.17 / $640.16	Professional		$209.75	$323.17	$640.16