Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.46 / $2,900.00 / $7,235.00	Facility		$178.46	$2,900.00	$7,235.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.15 / $211.00 / $401.83	Professional		$134.15	$211.00	$401.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,120.00 / $8,836.00	Facility		$2,393.00	$4,120.00	$8,836.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $174.66 / $217.85 / $451.47	Professional		$174.66	$217.85	$451.47
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $183.55 / $1,254.00 / $4,050.00	Facility		$183.55	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $183.55 / $183.55 / $275.22	Professional		$183.55	$183.55	$275.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $224.31 / $224.31 / $3,479.91	Facility		$224.31	$224.31	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.40 / $289.93 / $676.55	Professional		$146.40	$289.93	$676.55
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $140.88 / $224.42 / $343.17	Facility		$140.88	$224.42	$343.17
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $226.27 / $265.35 / $397.11	Professional		$226.27	$265.35	$397.11
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.61 / $223.25 / $359.96	Professional		$160.61	$223.25	$359.96
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $224.31 / $555.00 / $3,479.91	Facility		$224.31	$555.00	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $164.69 / $289.95 / $660.72	Professional		$164.69	$289.95	$660.72
United Facility/Professional Facility Modifier Low / Median / High Price $2,066.00 / $3,612.00 / $7,203.00	Facility		$2,066.00	$3,612.00	$7,203.00
United Facility/Professional Professional Modifier Low / Median / High Price $150.78 / $234.04 / $598.54	Professional		$150.78	$234.04	$598.54
Univera Facility/Professional Facility Modifier Low / Median / High Price $176.58 / $176.58 / $429.58	Facility		$176.58	$176.58	$429.58
Univera Facility/Professional Professional Modifier Low / Median / High Price $163.13 / $235.63 / $396.40	Professional		$163.13	$235.63	$396.40