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 $53.29 / $98.43 / $112.37	Professional		$53.29	$98.43	$112.37
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 $75.79 / $94.12 / $197.49	Professional		$75.79	$94.12	$197.49
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $134.72 / $134.72 / $4,050.00	Facility		$134.72	$134.72	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $134.72 / $134.72 / $134.72	Professional		$134.72	$134.72	$134.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.68 / $118.68 / $14,648.00	Facility		$118.68	$118.68	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $495.79 / $495.79 / $495.79	Professional		$495.79	$495.79	$495.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $138.99 / $138.99 / $138.99	Professional		$138.99	$138.99	$138.99
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.78 / $97.78 / $97.78	Facility		$97.78	$97.78	$97.78
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.40 / $140.28 / $221.18	Professional		$83.40	$140.28	$221.18
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $118.68 / $555.00 / $597.00	Facility		$118.68	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $495.79 / $495.79 / $495.79	Professional		$495.79	$495.79	$495.79
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 / $125.20 / $278.66	Professional		$87.64	$125.20	$278.66
Univera Facility/Professional Facility Modifier Low / Median / High Price $92.85 / $100.31 / $100.31	Facility		$92.85	$100.31	$100.31
Univera Facility/Professional Professional Modifier Low / Median / High Price $97.78 / $100.31 / $221.18	Professional		$97.78	$100.31	$221.18