Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $284.60 / $3,100.00 / $8,134.00	Facility		$284.60	$3,100.00	$8,134.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.15 / $329.93 / $642.91	Professional		$208.15	$329.93	$642.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,333.00 / $4,636.00	Facility		$1,691.00	$3,333.00	$4,636.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $235.37 / $307.68 / $788.35	Professional		$235.37	$307.68	$788.35
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $283.05 / $283.05 / $6,213.00	Facility		$283.05	$283.05	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $283.05 / $283.05 / $413.39	Professional		$283.05	$283.05	$413.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $337.84 / $337.84 / $4,612.43	Facility		$337.84	$337.84	$4,612.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.50 / $451.38 / $1,006.62	Professional		$212.50	$451.38	$1,006.62
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $245.75 / $516.69	Facility		$65.00	$245.75	$516.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $336.01 / $388.93 / $582.05	Professional		$336.01	$388.93	$582.05
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $214.58 / $341.19 / $529.53	Professional		$214.58	$341.19	$529.53
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $337.84 / $555.00 / $4,612.43	Facility		$337.84	$555.00	$4,612.43
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $236.54 / $462.16 / $1,031.17	Professional		$236.54	$462.16	$1,031.17
United Facility/Professional Facility Modifier Low / Median / High Price $1,079.00 / $2,826.00 / $4,851.00	Facility		$1,079.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $243.87 / $366.48 / $833.75	Professional		$243.87	$366.48	$833.75
Univera Facility/Professional Facility Modifier Low / Median / High Price $238.13 / $238.13 / $896.61	Facility		$238.13	$238.13	$896.61
Univera Facility/Professional Professional Modifier Low / Median / High Price $214.58 / $354.83 / $601.87	Professional		$214.58	$354.83	$601.87