Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $217.05 / $4,043.00 / $10,296.00	Facility		$217.05	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $202.32 / $244.45 / $437.00	Professional		$202.32	$244.45	$437.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,123.00 / $9,074.00	Facility		$2,393.00	$4,123.00	$9,074.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.47 / $199.32 / $451.39	Professional		$152.47	$199.32	$451.39
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $256.37 / $256.37 / $37,499.62	Facility		$256.37	$256.37	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $256.37 / $256.37 / $256.37	Professional		$256.37	$256.37	$256.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $206.17 / $206.17 / $7,227.90	Facility		$206.17	$206.17	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.46 / $324.04 / $666.91	Professional		$187.46	$324.04	$666.91
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $195.00 / $276.77 / $479.05	Facility		$195.00	$276.77	$479.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $212.91 / $255.49 / $368.33	Professional		$212.91	$255.49	$368.33
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.83 / $248.80 / $307.36	Professional		$158.83	$248.80	$307.36
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $206.17 / $597.00 / $74,999.25	Facility		$206.17	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $191.39 / $317.24 / $666.91	Professional		$191.39	$317.24	$666.91
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 $183.85 / $238.30 / $597.54	Professional		$183.85	$238.30	$597.54
Univera Facility/Professional Facility Modifier Low / Median / High Price $225.44 / $225.44 / $399.96	Facility		$225.44	$225.44	$399.96
Univera Facility/Professional Professional Modifier Low / Median / High Price $165.87 / $257.02 / $373.76	Professional		$165.87	$257.02	$373.76