Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $233.12 / $3,938.00 / $9,038.00	Facility		$233.12	$3,938.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.71 / $210.13 / $357.99	Professional		$158.71	$210.13	$357.99
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 $122.88 / $158.36 / $425.73	Professional		$122.88	$158.36	$425.73
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $255.68 / $255.68 / $6,213.00	Facility		$255.68	$255.68	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $255.68 / $255.68 / $255.68	Professional		$255.68	$255.68	$255.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $206.04 / $206.04 / $7,227.90	Facility		$206.04	$206.04	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.78 / $298.98 / $652.08	Professional		$174.78	$298.98	$652.08
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $211.83 / $336.00 / $632.00	Facility		$211.83	$336.00	$632.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $211.83 / $245.56 / $367.49	Professional		$211.83	$245.56	$367.49
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.32 / $208.18 / $333.29	Professional		$148.32	$208.18	$333.29
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $206.04 / $555.00 / $7,227.90	Facility		$206.04	$555.00	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $187.74 / $298.98 / $652.08	Professional		$187.74	$298.98	$652.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,768.00 / $4,176.00 / $8,312.00	Facility		$1,768.00	$4,176.00	$8,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $176.69 / $244.93 / $466.75	Professional		$176.69	$244.93	$466.75
Univera Facility/Professional Facility Modifier Low / Median / High Price $208.18 / $208.18 / $553.66	Facility		$208.18	$208.18	$553.66
Univera Facility/Professional Professional Modifier Low / Median / High Price $149.26 / $220.16 / $384.77	Professional		$149.26	$220.16	$384.77