Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $209.89 / $2,660.00 / $7,521.00	Facility		$209.89	$2,660.00	$7,521.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.44 / $287.70 / $536.16	Professional		$136.44	$287.70	$536.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $3,373.00 / $4,707.00	Facility		$1,689.00	$3,373.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $210.85 / $285.23 / $683.25	Professional		$210.85	$285.23	$683.25
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $205.55 / $1,254.00 / $4,050.00	Facility		$205.55	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $205.55 / $205.55 / $473.88	Professional		$205.55	$205.55	$473.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.86 / $239.86 / $239.86	Facility		$239.86	$239.86	$239.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.16 / $379.12 / $936.83	Professional		$151.16	$379.12	$936.83
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $173.08 / $360.02	Facility		$75.00	$173.08	$360.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $331.26 / $462.15 / $678.14	Professional		$331.26	$462.15	$678.14
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $284.47 / $284.47 / $284.47	Facility		$284.47	$284.47	$284.47
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $252.53 / $354.85 / $655.11	Professional		$252.53	$354.85	$655.11
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $239.86 / $555.00 / $37,776.00	Facility		$239.86	$555.00	$37,776.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $171.07 / $407.07 / $961.30	Professional		$171.07	$407.07	$961.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.00 / $3,496.00 / $6,201.00	Facility		$1,348.00	$3,496.00	$6,201.00
United Facility/Professional Professional Modifier Low / Median / High Price $268.72 / $410.98 / $971.06	Professional		$268.72	$410.98	$971.06
Univera Facility/Professional Facility Modifier Low / Median / High Price $165.48 / $165.48 / $612.90	Facility		$165.48	$165.48	$612.90
Univera Facility/Professional Professional Modifier Low / Median / High Price $284.47 / $360.68 / $655.11	Professional		$284.47	$360.68	$655.11