Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $337.59 / $4,043.00 / $10,296.00	Facility		$337.59	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $270.76 / $336.78 / $551.57	Professional		$270.76	$336.78	$551.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,583.00 / $8,134.00 / $16,083.00	Facility		$4,583.00	$8,134.00	$16,083.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $235.65 / $308.04 / $661.07	Professional		$235.65	$308.04	$661.07
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $397.38 / $397.38 / $37,499.62	Facility		$397.38	$397.38	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $397.38 / $397.38 / $397.38	Professional		$397.38	$397.38	$397.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $321.08 / $321.08 / $7,227.90	Facility		$321.08	$321.08	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $282.24 / $484.36 / $1,033.76	Professional		$282.24	$484.36	$1,033.76
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $296.31 / $556.00 / $2,293.90	Facility		$296.31	$556.00	$2,293.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $299.32 / $399.10 / $575.36	Professional		$299.32	$399.10	$575.36
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $195.98 / $267.10 / $476.95	Professional		$195.98	$267.10	$476.95
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $321.08 / $597.00 / $74,999.25	Facility		$321.08	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $289.02 / $470.90 / $1,025.05	Professional		$289.02	$470.90	$1,025.05
United Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $4,194.00 / $9,300.00	Facility		$1,749.00	$4,194.00	$9,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $255.74 / $357.75 / $815.41	Professional		$255.74	$357.75	$815.41
Univera Facility/Professional Facility Modifier Low / Median / High Price $349.83 / $349.83 / $1,114.49	Facility		$349.83	$349.83	$1,114.49
Univera Facility/Professional Professional Modifier Low / Median / High Price $195.98 / $399.76 / $698.97	Professional		$195.98	$399.76	$698.97