Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $240.49 / $3,996.00 / $9,661.00	Facility		$240.49	$3,996.00	$9,661.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.74 / $219.41 / $392.38	Professional		$174.74	$219.41	$392.38
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 $136.76 / $173.41 / $431.94	Professional		$136.76	$173.41	$431.94
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $267.39 / $1,990.00 / $8,917.50	Facility		$267.39	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $267.39 / $267.39 / $267.39	Professional		$267.39	$267.39	$267.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $221.71 / $221.71 / $5,246.94	Facility		$221.71	$221.71	$5,246.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.25 / $319.94 / $686.30	Professional		$149.25	$319.94	$686.30
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $250.00 / $515.52	Facility		$85.00	$250.00	$515.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $206.21 / $268.45 / $400.06	Professional		$206.21	$268.45	$400.06
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $184.36 / $184.36 / $862.75	Facility		$184.36	$184.36	$862.75
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.46 / $229.73 / $360.56	Professional		$160.46	$229.73	$360.56
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $221.71 / $555.00 / $5,246.94	Facility		$221.71	$555.00	$5,246.94
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $195.55 / $290.47 / $667.98	Professional		$195.55	$290.47	$667.98
United Facility/Professional Facility Modifier Low / Median / High Price $1,693.00 / $4,311.00 / $10,065.00	Facility		$1,693.00	$4,311.00	$10,065.00
United Facility/Professional Professional Modifier Low / Median / High Price $162.86 / $219.57 / $485.93	Professional		$162.86	$219.57	$485.93
Univera Facility/Professional Facility Modifier Low / Median / High Price $235.97 / $235.97 / $862.75	Facility		$235.97	$235.97	$862.75
Univera Facility/Professional Professional Modifier Low / Median / High Price $175.65 / $259.02 / $498.80	Professional		$175.65	$259.02	$498.80