Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $336.79 / $4,106.00 / $10,170.00	Facility		$336.79	$4,106.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.59 / $292.45 / $454.26	Professional		$198.59	$292.45	$454.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $5,160.00 / $11,809.00	Facility		$3,283.00	$5,160.00	$11,809.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $192.36 / $251.46 / $581.73	Professional		$192.36	$251.46	$581.73
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $335.22 / $2,390.00 / $10,957.50	Facility		$335.22	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $335.22 / $335.22 / $335.22	Professional		$335.22	$335.22	$335.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.81 / $269.81 / $6,511.02	Facility		$269.81	$269.81	$6,511.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.19 / $413.82 / $923.67	Professional		$225.19	$413.82	$923.67
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $250.00 / $403.19 / $649.60	Facility		$250.00	$403.19	$649.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $268.79 / $321.70 / $481.46	Professional		$268.79	$321.70	$481.46
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $189.89 / $288.43 / $427.95	Professional		$189.89	$288.43	$427.95
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $269.81 / $597.00 / $8,498.00	Facility		$269.81	$597.00	$8,498.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $247.29 / $410.70 / $861.52	Professional		$247.29	$410.70	$861.52
United Facility/Professional Facility Modifier Low / Median / High Price $2,031.00 / $4,840.00 / $9,202.00	Facility		$2,031.00	$4,840.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $193.65 / $297.39 / $740.31	Professional		$193.65	$297.39	$740.31
Univera Facility/Professional Facility Modifier Low / Median / High Price $305.68 / $305.68 / $839.43	Facility		$305.68	$305.68	$839.43
Univera Facility/Professional Professional Modifier Low / Median / High Price $189.89 / $305.68 / $499.29	Professional		$189.89	$305.68	$499.29