Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $425.68 / $2,900.00 / $7,307.00	Facility		$425.68	$2,900.00	$7,307.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $328.90 / $400.59 / $716.99	Professional		$328.90	$400.59	$716.99
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 $298.61 / $389.19 / $901.15	Professional		$298.61	$389.19	$901.15
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $509.96 / $1,254.00 / $4,050.00	Facility		$509.96	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $509.96 / $509.96 / $553.88	Professional		$509.96	$509.96	$553.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $623.15 / $623.15 / $623.15	Facility		$623.15	$623.15	$623.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $369.90 / $552.13 / $1,377.67	Professional		$369.90	$552.13	$1,377.67
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $140.00 / $332.00 / $994.28	Facility		$140.00	$332.00	$994.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $439.95 / $625.12 / $922.52	Professional		$439.95	$625.12	$922.52
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $377.80 / $377.80 / $377.80	Facility		$377.80	$377.80	$377.80
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.66 / $480.86 / $848.25	Professional		$288.66	$480.86	$848.25
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $623.15	Facility		$555.00	$597.00	$623.15
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $374.14 / $557.55 / $1,347.02	Professional		$374.14	$557.55	$1,347.02
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 $349.70 / $496.79 / $1,247.72	Professional		$349.70	$496.79	$1,247.72
Univera Facility/Professional Facility Modifier Low / Median / High Price $443.74 / $443.74 / $1,432.34	Facility		$443.74	$443.74	$1,432.34
Univera Facility/Professional Professional Modifier Low / Median / High Price $326.99 / $526.51 / $943.36	Professional		$326.99	$526.51	$943.36