Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.79 / $2,842.00 / $7,839.00	Facility		$122.79	$2,842.00	$7,839.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.99 / $144.36 / $238.84	Professional		$103.99	$144.36	$238.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,333.00 / $4,636.00	Facility		$1,691.00	$3,333.00	$4,636.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.47 / $128.72 / $297.45	Professional		$98.47	$128.72	$297.45
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $138.25 / $138.25 / $4,050.00	Facility		$138.25	$138.25	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $138.25 / $138.25 / $178.83	Professional		$138.25	$138.25	$178.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.21 / $166.21 / $3,479.91	Facility		$166.21	$166.21	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.31 / $200.67 / $445.29	Professional		$105.31	$200.67	$445.29
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $93.00 / $149.56 / $332.00	Facility		$93.00	$149.56	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $141.90 / $168.82 / $252.65	Professional		$141.90	$168.82	$252.65
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.05 / $151.35 / $226.91	Professional		$102.05	$151.35	$226.91
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $166.21 / $555.00 / $3,479.91	Facility		$166.21	$555.00	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $118.57 / $205.98 / $444.72	Professional		$118.57	$205.98	$444.72
United Facility/Professional Facility Modifier Low / Median / High Price $692.80 / $2,705.00 / $4,840.00	Facility		$692.80	$2,705.00	$4,840.00
United Facility/Professional Professional Modifier Low / Median / High Price $109.68 / $153.81 / $397.29	Professional		$109.68	$153.81	$397.29
Univera Facility/Professional Facility Modifier Low / Median / High Price $125.83 / $125.83 / $355.27	Facility		$125.83	$125.83	$355.27
Univera Facility/Professional Professional Modifier Low / Median / High Price $102.76 / $156.07 / $252.93	Professional		$102.76	$156.07	$252.93