Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,508.00 / $3,797.00 / $9,267.00	Facility		$1,508.00	$3,797.00	$9,267.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.31 / $58.03 / $72.08	Professional		$50.31	$58.03	$72.08
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 $43.32 / $53.79 / $86.75	Professional		$43.32	$53.79	$86.75
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,071.00 / $2,071.00 / $6,213.00	Facility		$2,071.00	$2,071.00	$6,213.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.14 / $62.14 / $3,479.91	Facility		$62.14	$62.14	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.74 / $92.70 / $261.83	Professional		$44.74	$92.70	$261.83
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $101.00 / $174.73 / $346.00	Facility		$101.00	$174.73	$346.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $126.74 / $164.76 / $275.02	Professional		$126.74	$164.76	$275.02
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.02 / $51.02 / $482.13	Facility		$51.02	$51.02	$482.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.82 / $65.63 / $101.85	Professional		$40.82	$65.63	$101.85
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $62.14 / $555.00 / $3,479.91	Facility		$62.14	$555.00	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $51.32 / $100.00 / $219.16	Professional		$51.32	$100.00	$219.16
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 $45.90 / $66.89 / $147.94	Professional		$45.90	$66.89	$147.94
Univera Facility/Professional Facility Modifier Low / Median / High Price $65.63 / $65.63 / $354.75	Facility		$65.63	$65.63	$354.75
Univera Facility/Professional Professional Modifier Low / Median / High Price $40.82 / $73.59 / $139.52	Professional		$40.82	$73.59	$139.52