Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.69 / $2,465.00 / $9,868.00	Facility		$83.69	$2,465.00	$9,868.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.25 / $86.13 / $166.27	Professional		$62.25	$86.13	$166.27
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 $75.78 / $96.25 / $220.00	Professional		$75.78	$96.25	$220.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $96.72 / $96.72 / $6,213.00	Facility		$96.72	$96.72	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $96.72 / $96.72 / $137.31	Professional		$96.72	$96.72	$137.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.61 / $118.61 / $14,648.00	Facility		$118.61	$118.61	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.31 / $124.64 / $327.88	Professional		$73.31	$124.64	$327.88
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $108.32 / $332.00	Facility		$65.00	$108.32	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $112.13 / $159.30 / $234.98	Professional		$112.13	$159.30	$234.98
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $96.29 / $96.29 / $96.29	Facility		$96.29	$96.29	$96.29
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.14 / $103.27 / $214.31	Professional		$75.14	$103.27	$214.31
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $118.61 / $555.00 / $597.00	Facility		$118.61	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $76.66 / $131.88 / $315.33	Professional		$76.66	$131.88	$315.33
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 $86.03 / $121.75 / $311.76	Professional		$86.03	$121.75	$311.76
Univera Facility/Professional Facility Modifier Low / Median / High Price $83.58 / $83.58 / $272.88	Facility		$83.58	$83.58	$272.88
Univera Facility/Professional Professional Modifier Low / Median / High Price $82.61 / $134.18 / $214.31	Professional		$82.61	$134.18	$214.31