Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.27 / $4,043.00 / $10,296.00	Facility		$275.27	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.28 / $309.67 / $512.94	Professional		$243.28	$309.67	$512.94
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 $193.49 / $252.94 / $574.46	Professional		$193.49	$252.94	$574.46
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $326.27 / $326.27 / $37,499.62	Facility		$326.27	$326.27	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $326.27 / $326.27 / $326.27	Professional		$326.27	$326.27	$326.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $262.74 / $262.74 / $7,227.90	Facility		$262.74	$262.74	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $236.82 / $411.63 / $845.53	Professional		$236.82	$411.63	$845.53
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $247.00 / $326.00 / $607.64	Facility		$247.00	$326.00	$607.64
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $258.38 / $324.07 / $467.20	Professional		$258.38	$324.07	$467.20
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $201.76 / $290.36 / $371.70	Professional		$201.76	$290.36	$371.70
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $262.74 / $597.00 / $74,999.25	Facility		$262.74	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $242.79 / $402.39 / $845.53	Professional		$242.79	$402.39	$845.53
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 $233.36 / $314.63 / $807.46	Professional		$233.36	$314.63	$807.46
Univera Facility/Professional Facility Modifier Low / Median / High Price $286.95 / $286.95 / $508.08	Facility		$286.95	$286.95	$508.08
Univera Facility/Professional Professional Modifier Low / Median / High Price $210.42 / $290.36 / $475.76	Professional		$210.42	$290.36	$475.76