Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $494.16 / $3,659.00 / $10,170.00	Facility		$494.16	$3,659.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $333.81 / $411.36 / $797.11	Professional		$333.81	$411.36	$797.11
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 $274.05 / $358.24 / $850.87	Professional		$274.05	$358.24	$850.87
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $512.72 / $1,254.00 / $4,050.00	Facility		$512.72	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $512.72 / $512.72 / $512.72	Professional		$512.72	$512.72	$512.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $409.86 / $409.86 / $14,648.00	Facility		$409.86	$409.86	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $351.41 / $577.86 / $1,540.24	Professional		$351.41	$577.86	$1,540.24
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $470.00 / $951.55	Facility		$332.00	$470.00	$951.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $389.04 / $551.76 / $816.22	Professional		$389.04	$551.76	$816.22
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $334.08 / $334.08 / $334.08	Facility		$334.08	$334.08	$334.08
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $299.48 / $414.60 / $753.05	Professional		$299.48	$414.60	$753.05
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $409.86 / $555.00 / $36,596.00	Facility		$409.86	$555.00	$36,596.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $372.48 / $578.94 / $1,540.24	Professional		$372.48	$578.94	$1,540.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,252.00 / $2,597.00 / $4,715.00	Facility		$1,252.00	$2,597.00	$4,715.00
United Facility/Professional Professional Modifier Low / Median / High Price $327.42 / $507.49 / $1,163.47	Professional		$327.42	$507.49	$1,163.47
Univera Facility/Professional Facility Modifier Low / Median / High Price $414.60 / $414.60 / $1,176.45	Facility		$414.60	$414.60	$1,176.45
Univera Facility/Professional Professional Modifier Low / Median / High Price $326.50 / $458.09 / $902.38	Professional		$326.50	$458.09	$902.38