Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $243.16 / $2,626.00 / $7,307.00	Facility		$243.16	$2,626.00	$7,307.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.86 / $271.57 / $521.00	Professional		$181.86	$271.57	$521.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,373.00 / $4,085.00 / $8,281.00	Facility		$2,373.00	$4,085.00	$8,281.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $210.12 / $268.85 / $622.16	Professional		$210.12	$268.85	$622.16
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $289.12 / $289.12 / $4,050.00	Facility		$289.12	$289.12	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $289.12 / $289.12 / $459.09	Professional		$289.12	$289.12	$459.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $314.44 / $314.44 / $3,479.91	Facility		$314.44	$314.44	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.45 / $377.38 / $905.45	Professional		$192.45	$377.38	$905.45
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $160.00 / $259.20 / $503.75	Facility		$160.00	$259.20	$503.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $314.69 / $408.10 / $606.69	Professional		$314.69	$408.10	$606.69
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $279.58 / $279.58 / $279.58	Facility		$279.58	$279.58	$279.58
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $172.81 / $365.65 / $567.49	Professional		$172.81	$365.65	$567.49
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $314.44 / $555.00 / $3,479.91	Facility		$314.44	$555.00	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $197.66 / $396.05 / $825.00	Professional		$197.66	$396.05	$825.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,269.00 / $3,612.00 / $8,133.00	Facility		$1,269.00	$3,612.00	$8,133.00
United Facility/Professional Professional Modifier Low / Median / High Price $226.94 / $335.44 / $849.47	Professional		$226.94	$335.44	$849.47
Univera Facility/Professional Facility Modifier Low / Median / High Price $232.98 / $232.98 / $502.54	Facility		$232.98	$232.98	$502.54
Univera Facility/Professional Professional Modifier Low / Median / High Price $172.81 / $410.09 / $613.66	Professional		$172.81	$410.09	$613.66