Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $160.79 / $2,626.00 / $7,307.00	Facility		$160.79	$2,626.00	$7,307.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.45 / $202.17 / $378.75	Professional		$113.45	$202.17	$378.75
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 $146.97 / $186.95 / $468.48	Professional		$146.97	$186.95	$468.48
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $165.42 / $1,254.00 / $4,050.00	Facility		$165.42	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $165.42 / $165.42 / $295.76	Professional		$165.42	$165.42	$295.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.52 / $204.52 / $3,479.91	Facility		$204.52	$204.52	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.17 / $253.14 / $610.61	Professional		$123.17	$253.14	$610.61
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $186.28 / $332.00	Facility		$60.00	$186.28	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $223.28 / $289.38 / $430.20	Professional		$223.28	$289.38	$430.20
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $198.25 / $198.25 / $482.13	Facility		$198.25	$198.25	$482.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.03 / $247.03 / $395.56	Professional		$176.03	$247.03	$395.56
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $204.52 / $555.00 / $3,714.60	Facility		$204.52	$555.00	$3,714.60
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $266.52 / $581.53	Professional		$129.47	$266.52	$581.53
United Facility/Professional Facility Modifier Low / Median / High Price $1,585.00 / $3,908.00 / $9,047.00	Facility		$1,585.00	$3,908.00	$9,047.00
United Facility/Professional Professional Modifier Low / Median / High Price $163.13 / $228.69 / $540.54	Professional		$163.13	$228.69	$540.54
Univera Facility/Professional Facility Modifier Low / Median / High Price $148.69 / $148.69 / $482.13	Facility		$148.69	$148.69	$482.13
Univera Facility/Professional Professional Modifier Low / Median / High Price $192.41 / $278.52 / $434.46	Professional		$192.41	$278.52	$434.46