Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.39 / $3,414.00 / $8,670.00	Facility		$302.39	$3,414.00	$8,670.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.11 / $368.91 / $666.91	Professional		$225.11	$368.91	$666.91
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 $260.52 / $327.41 / $819.71	Professional		$260.52	$327.41	$819.71
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $318.45 / $1,990.00 / $8,917.50	Facility		$318.45	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $318.45 / $318.45 / $550.98	Professional		$318.45	$318.45	$550.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $393.87 / $393.87 / $5,246.94	Facility		$393.87	$393.87	$5,246.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $246.88 / $478.68 / $1,102.76	Professional		$246.88	$478.68	$1,102.76
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $250.00 / $319.00 / $615.49	Facility		$250.00	$319.00	$615.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $408.64 / $529.48 / $787.88	Professional		$408.64	$529.48	$787.88
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $862.75	Facility		$363.08	$363.08	$862.75
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $268.70 / $445.77 / $736.05	Professional		$268.70	$445.77	$736.05
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $393.87 / $555.00 / $5,246.94	Facility		$393.87	$555.00	$5,246.94
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $274.00 / $502.61 / $1,102.76	Professional		$274.00	$502.61	$1,102.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,693.00 / $3,972.00 / $9,202.00	Facility		$1,693.00	$3,972.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $292.17 / $419.91 / $935.60	Professional		$292.17	$419.91	$935.60
Univera Facility/Professional Facility Modifier Low / Median / High Price $281.16 / $281.16 / $903.20	Facility		$281.16	$281.16	$903.20
Univera Facility/Professional Professional Modifier Low / Median / High Price $268.70 / $531.90 / $795.93	Professional		$268.70	$531.90	$795.93