Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $233.23 / $3,621.00 / $9,038.00	Facility		$233.23	$3,621.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.63 / $218.73 / $450.77	Professional		$168.63	$218.73	$450.77
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 $142.77 / $186.64 / $456.12	Professional		$142.77	$186.64	$456.12
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $247.66 / $247.66 / $6,213.00	Facility		$247.66	$247.66	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $247.66 / $247.66 / $247.66	Professional		$247.66	$247.66	$247.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $203.48 / $203.48 / $1,225.00	Facility		$203.48	$203.48	$1,225.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.64 / $352.57 / $667.93	Professional		$215.64	$352.57	$667.93
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $214.87 / $483.46	Facility		$97.00	$214.87	$483.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $208.96 / $235.70 / $371.73	Professional		$208.96	$235.70	$371.73
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.64 / $187.42 / $326.52	Professional		$107.64	$187.42	$326.52
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $203.48 / $262.00 / $1,225.00	Facility		$203.48	$262.00	$1,225.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $217.05 / $333.32 / $667.93	Professional		$217.05	$333.32	$667.93
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 $154.41 / $227.38 / $545.87	Professional		$154.41	$227.38	$545.87
Univera Facility/Professional Facility Modifier Low / Median / High Price $190.07 / $190.07 / $644.28	Facility		$190.07	$190.07	$644.28
Univera Facility/Professional Professional Modifier Low / Median / High Price $107.64 / $190.07 / $369.24	Professional		$107.64	$190.07	$369.24