Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.88 / $3,621.00 / $10,170.00	Facility		$133.88	$3,621.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.32 / $116.55 / $229.05	Professional		$106.32	$116.55	$229.05
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 $89.85 / $117.46 / $265.14	Professional		$89.85	$117.46	$265.14
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $156.08 / $156.08 / $8,917.50	Facility		$156.08	$156.08	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $156.08 / $156.08 / $156.08	Professional		$156.08	$156.08	$156.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.35 / $128.35 / $14,648.00	Facility		$128.35	$128.35	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.27 / $206.08 / $421.45	Professional		$134.27	$206.08	$421.45
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $143.09 / $332.00	Facility		$80.00	$143.09	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $131.46 / $148.19 / $234.47	Professional		$131.46	$148.19	$234.47
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.12 / $117.85 / $205.11	Professional		$66.12	$117.85	$205.11
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $128.35 / $128.35 / $74,999.25	Facility		$128.35	$128.35	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $130.00 / $198.35 / $413.95	Professional		$130.00	$198.35	$413.95
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 $97.10 / $148.06 / $356.46	Professional		$97.10	$148.06	$356.46
Univera Facility/Professional Facility Modifier Low / Median / High Price $119.39 / $119.39 / $406.79	Facility		$119.39	$119.39	$406.79
Univera Facility/Professional Professional Modifier Low / Median / High Price $66.12 / $119.39 / $231.94	Professional		$66.12	$119.39	$231.94