Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.58 / $2,626.00 / $7,168.00	Facility		$101.58	$2,626.00	$7,168.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.41 / $126.75 / $275.47	Professional		$64.41	$126.75	$275.47
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 $117.42 / $167.12 / $318.67	Professional		$117.42	$167.12	$318.67
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $89.53 / $89.53 / $4,050.00	Facility		$89.53	$89.53	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $89.53 / $89.53 / $239.93	Professional		$89.53	$89.53	$239.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.44 / $109.44 / $7,227.90	Facility		$109.44	$109.44	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.37 / $177.90 / $472.27	Professional		$74.37	$177.90	$472.27
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $78.51 / $120.00 / $332.00	Facility		$78.51	$120.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $172.31 / $223.15 / $331.21	Professional		$172.31	$223.15	$331.21
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $152.47 / $152.47 / $152.47	Facility		$152.47	$152.47	$152.47
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.10 / $200.09 / $310.54	Professional		$112.10	$200.09	$310.54
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $109.44 / $555.00 / $7,227.90	Facility		$109.44	$555.00	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $83.35 / $195.57 / $438.21	Professional		$83.35	$195.57	$438.21
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 $128.84 / $174.85 / $421.39	Professional		$128.84	$174.85	$421.39
Univera Facility/Professional Facility Modifier Low / Median / High Price $76.89 / $76.89 / $475.99	Facility		$76.89	$76.89	$475.99
Univera Facility/Professional Professional Modifier Low / Median / High Price $112.10 / $203.17 / $335.80	Professional		$112.10	$203.17	$335.80