Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.91 / $3,611.00 / $10,686.00	Facility		$175.91	$3,611.00	$10,686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.50 / $154.78 / $261.33	Professional		$123.50	$154.78	$261.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,977.00 / $9,519.00 / $23,671.00	Facility		$4,977.00	$9,519.00	$23,671.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.07 / $122.21 / $299.95	Professional		$97.07	$122.21	$299.95
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $183.66 / $1,254.00 / $4,050.00	Facility		$183.66	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $183.66 / $183.66 / $183.66	Professional		$183.66	$183.66	$183.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.79 / $147.79 / $13,296.25	Facility		$147.79	$147.79	$13,296.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.55 / $215.99 / $489.75	Professional		$111.55	$215.99	$489.75
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $137.76 / $217.88 / $500.82	Facility		$137.76	$217.88	$500.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $139.16 / $178.33 / $267.51	Professional		$139.16	$178.33	$267.51
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $119.06 / $119.06 / $1,395.63	Facility		$119.06	$119.06	$1,395.63
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.41 / $151.96 / $235.85	Professional		$88.41	$151.96	$235.85
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $147.79 / $555.00 / $13,296.25	Facility		$147.79	$555.00	$13,296.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $135.74 / $199.09 / $445.83	Professional		$135.74	$199.09	$445.83
United Facility/Professional Facility Modifier Low / Median / High Price $671.00 / $2,651.00 / $4,840.00	Facility		$671.00	$2,651.00	$4,840.00
United Facility/Professional Professional Modifier Low / Median / High Price $109.91 / $148.53 / $367.01	Professional		$109.91	$148.53	$367.01
Univera Facility/Professional Facility Modifier Low / Median / High Price $151.96 / $151.96 / $420.32	Facility		$151.96	$151.96	$420.32
Univera Facility/Professional Professional Modifier Low / Median / High Price $88.41 / $170.43 / $323.06	Professional		$88.41	$170.43	$323.06