Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $382.85 / $2,792.00 / $7,521.00	Facility		$382.85	$2,792.00	$7,521.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $291.68 / $402.44 / $780.53	Professional		$291.68	$402.44	$780.53
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 $327.51 / $417.57 / $1,012.60	Professional		$327.51	$417.57	$1,012.60
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $429.06 / $429.06 / $8,917.50	Facility		$429.06	$429.06	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $429.06 / $429.06 / $563.71	Professional		$429.06	$429.06	$563.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $525.63 / $525.63 / $3,479.91	Facility		$525.63	$525.63	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $381.79 / $653.64 / $1,375.64	Professional		$381.79	$653.64	$1,375.64
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $329.85 / $840.40	Facility		$100.00	$329.85	$840.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $468.70 / $528.70 / $826.80	Professional		$468.70	$528.70	$826.80
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $264.29 / $373.36 / $735.86	Professional		$264.29	$373.36	$735.86
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $525.63 / $555.00 / $3,479.91	Facility		$525.63	$555.00	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $403.20 / $692.44 / $1,382.09	Professional		$403.20	$692.44	$1,382.09
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 $378.01 / $531.64 / $1,161.15	Professional		$378.01	$531.64	$1,161.15
Univera Facility/Professional Facility Modifier Low / Median / High Price $329.01 / $329.01 / $1,019.91	Facility		$329.01	$329.01	$1,019.91
Univera Facility/Professional Professional Modifier Low / Median / High Price $264.29 / $420.40 / $795.03	Professional		$264.29	$420.40	$795.03