Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.35 / $2,660.00 / $7,343.00	Facility		$148.35	$2,660.00	$7,343.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.75 / $152.37 / $336.72	Professional		$113.75	$152.37	$336.72
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 $149.36 / $186.89 / $374.80	Professional		$149.36	$186.89	$374.80
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $159.88 / $159.88 / $4,050.00	Facility		$159.88	$159.88	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $159.88 / $159.88 / $233.41	Professional		$159.88	$159.88	$233.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $193.75 / $193.75 / $3,479.91	Facility		$193.75	$193.75	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.76 / $239.81 / $529.16	Professional		$126.76	$239.81	$529.16
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $122.00 / $190.08 / $332.00	Facility		$122.00	$190.08	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $194.73 / $225.68 / $337.74	Professional		$194.73	$225.68	$337.74
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.77 / $163.69 / $308.33	Professional		$135.77	$163.69	$308.33
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $193.75 / $597.00 / $8,498.00	Facility		$193.75	$597.00	$8,498.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $146.63 / $254.72 / $542.59	Professional		$146.63	$254.72	$542.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,079.00 / $2,826.00 / $4,851.00	Facility		$1,079.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $163.41 / $225.67 / $447.39	Professional		$163.41	$225.67	$447.39
Univera Facility/Professional Facility Modifier Low / Median / High Price $129.27 / $129.27 / $412.16	Facility		$129.27	$129.27	$412.16
Univera Facility/Professional Professional Modifier Low / Median / High Price $135.77 / $202.33 / $340.10	Professional		$135.77	$202.33	$340.10