Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $243.22 / $4,392.00 / $9,868.00	Facility		$243.22	$4,392.00	$9,868.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.59 / $214.51 / $534.23	Professional		$187.59	$214.51	$534.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,100.00 / $7,264.00 / $12,274.00	Facility		$4,100.00	$7,264.00	$12,274.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.06 / $211.85 / $478.22	Professional		$162.06	$211.85	$478.22
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $280.72 / $1,254.00 / $8,917.50	Facility		$280.72	$1,254.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $280.72 / $280.72 / $280.72	Professional		$280.72	$280.72	$280.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.45 / $214.45 / $13,296.25	Facility		$214.45	$214.45	$13,296.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.58 / $358.08 / $717.32	Professional		$158.58	$358.08	$717.32
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $187.00 / $274.35 / $474.84	Facility		$187.00	$274.35	$474.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $211.04 / $251.82 / $376.86	Professional		$211.04	$251.82	$376.86
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.28 / $200.59 / $376.52	Professional		$131.28	$200.59	$376.52
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $214.45 / $555.00 / $13,296.25	Facility		$214.45	$555.00	$13,296.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $203.05 / $340.82 / $717.31	Professional		$203.05	$340.82	$717.31
United Facility/Professional Facility Modifier Low / Median / High Price $2,337.00 / $6,450.00 / $12,742.00	Facility		$2,337.00	$6,450.00	$12,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $173.67 / $257.82 / $563.75	Professional		$173.67	$257.82	$563.75
Univera Facility/Professional Facility Modifier Low / Median / High Price $200.59 / $200.59 / $379.48	Facility		$200.59	$200.59	$379.48
Univera Facility/Professional Professional Modifier Low / Median / High Price $131.28 / $233.31 / $395.75	Professional		$131.28	$233.31	$395.75