Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $458.38 / $3,449.00 / $7,839.00	Facility		$458.38	$3,449.00	$7,839.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $265.76 / $394.05 / $611.73	Professional		$265.76	$394.05	$611.73
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 $259.52 / $339.26 / $778.92	Professional		$259.52	$339.26	$778.92
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $453.07 / $1,716.00 / $6,213.00	Facility		$453.07	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $453.07 / $453.07 / $453.07	Professional		$453.07	$453.07	$453.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $364.85 / $364.85 / $4,612.43	Facility		$364.85	$364.85	$4,612.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $297.77 / $558.36 / $1,246.94	Professional		$297.77	$558.36	$1,246.94
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $490.00 / $814.43	Facility		$319.00	$490.00	$814.43
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $361.97 / $433.61 / $648.91	Professional		$361.97	$433.61	$648.91
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $256.05 / $350.88 / $577.91	Professional		$256.05	$350.88	$577.91
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $364.85 / $597.00 / $8,498.00	Facility		$364.85	$597.00	$8,498.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $331.06 / $539.34 / $1,234.99	Professional		$331.06	$539.34	$1,234.99
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 $269.75 / $399.25 / $967.56	Professional		$269.75	$399.25	$967.56
Univera Facility/Professional Facility Modifier Low / Median / High Price $412.80 / $412.80 / $1,147.54	Facility		$412.80	$412.80	$1,147.54
Univera Facility/Professional Professional Modifier Low / Median / High Price $256.05 / $397.50 / $674.24	Professional		$256.05	$397.50	$674.24