Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.09 / $2,660.00 / $7,343.00	Facility		$72.09	$2,660.00	$7,343.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.53 / $159.56 / $274.80	Professional		$50.53	$159.56	$274.80
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 $102.46 / $153.61 / $410.71	Professional		$102.46	$153.61	$410.71
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $73.79 / $73.79 / $4,050.00	Facility		$73.79	$73.79	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $73.79 / $73.79 / $311.56	Professional		$73.79	$73.79	$311.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.73 / $87.73 / $14,648.00	Facility		$87.73	$87.73	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.13 / $196.38 / $543.59	Professional		$55.13	$196.38	$543.59
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $59.00 / $86.04 / $332.00	Facility		$59.00	$86.04	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $219.74 / $301.89 / $457.80	Professional		$219.74	$301.89	$457.80
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $188.70 / $188.70 / $188.70	Facility		$188.70	$188.70	$188.70
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.37 / $250.73 / $442.29	Professional		$148.37	$250.73	$442.29
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $87.73 / $555.00 / $597.00	Facility		$87.73	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $60.12 / $233.38 / $572.61	Professional		$60.12	$233.38	$572.61
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 $177.50 / $258.95 / $632.04	Professional		$177.50	$258.95	$632.04
Univera Facility/Professional Facility Modifier Low / Median / High Price $61.19 / $61.19 / $245.44	Facility		$61.19	$61.19	$245.44
Univera Facility/Professional Professional Modifier Low / Median / High Price $148.37 / $250.73 / $442.29	Professional		$148.37	$250.73	$442.29