Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.34 / $2,626.00 / $7,095.00	Facility		$125.34	$2,626.00	$7,095.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.27 / $199.72 / $409.88	Professional		$81.27	$199.72	$409.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,651.00 / $3,263.00 / $4,636.00	Facility		$1,651.00	$3,263.00	$4,636.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.37 / $225.82 / $577.41	Professional		$164.37	$225.82	$577.41
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $117.61 / $1,254.00 / $4,050.00	Facility		$117.61	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $117.61 / $117.61 / $429.38	Professional		$117.61	$117.61	$429.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.87 / $143.87 / $3,479.91	Facility		$143.87	$143.87	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.51 / $255.45 / $692.74	Professional		$88.51	$255.45	$692.74
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $131.96 / $332.00	Facility		$80.00	$131.96	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $298.87 / $386.08 / $574.50	Professional		$298.87	$386.08	$574.50
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $260.68 / $260.68 / $482.13	Facility		$260.68	$260.68	$482.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $189.12 / $320.05 / $532.08	Professional		$189.12	$320.05	$532.08
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $143.87 / $597.00 / $5,855.00	Facility		$143.87	$597.00	$5,855.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $317.89 / $703.46	Professional		$105.00	$317.89	$703.46
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 $217.64 / $305.30 / $703.82	Professional		$217.64	$305.30	$703.82
Univera Facility/Professional Facility Modifier Low / Median / High Price $99.99 / $99.99 / $482.13	Facility		$99.99	$99.99	$482.13
Univera Facility/Professional Professional Modifier Low / Median / High Price $189.12 / $320.05 / $575.37	Professional		$189.12	$320.05	$575.37