Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.37 / $5,796.00 / $10,686.00	Facility		$112.37	$5,796.00	$10,686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.27 / $93.84 / $217.27	Professional		$27.27	$93.84	$217.27
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 $74.97 / $93.10 / $193.36	Professional		$74.97	$93.10	$193.36
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $132.77 / $132.77 / $4,050.00	Facility		$132.77	$132.77	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $132.77 / $132.77 / $132.77	Professional		$132.77	$132.77	$132.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.94 / $117.94 / $14,648.00	Facility		$117.94	$117.94	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.66 / $489.57 / $489.57	Professional		$116.66	$489.57	$489.57
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $117.35 / $206.31 / $332.00	Facility		$117.35	$206.31	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $68.45 / $132.97 / $233.76	Professional		$68.45	$132.97	$233.76
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.79 / $97.79 / $97.79	Facility		$97.79	$97.79	$97.79
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.25 / $136.91 / $215.63	Professional		$82.25	$136.91	$215.63
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $117.94 / $555.00 / $597.00	Facility		$117.94	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $116.66 / $489.57 / $489.57	Professional		$116.66	$489.57	$489.57
United Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,826.00 / $4,851.00	Facility		$964.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $87.64 / $128.88 / $282.23	Professional		$87.64	$128.88	$282.23
Univera Facility/Professional Facility Modifier Low / Median / High Price $91.57 / $97.79 / $97.79	Facility		$91.57	$97.79	$97.79
Univera Facility/Professional Professional Modifier Low / Median / High Price $97.79 / $97.79 / $215.63	Professional		$97.79	$97.79	$215.63