Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.82 / $38.61 / $1,728.00	Facility		$20.82	$38.61	$1,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.95 / $33.13 / $73.38	Professional		$17.95	$33.13	$73.38
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 $22.95 / $29.77 / $97.23	Professional		$22.95	$29.77	$97.23
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $34.43 / $43.66 / $145.16	Professional	50	$34.43	$43.66	$145.16
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $26.46 / $26.46 / $4,050.00	Facility		$26.46	$26.46	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $26.46 / $26.46 / $43.64	Professional		$26.46	$26.46	$43.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.54 / $30.54 / $14,648.00	Facility		$30.54	$30.54	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.80 / $43.03 / $105.54	Professional		$19.80	$43.03	$105.54
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $20.55 / $43.00 / $332.00	Facility		$20.55	$43.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $33.67 / $46.35 / $69.28	Professional		$33.67	$46.35	$69.28
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.59 / $27.59 / $27.59	Facility		$27.59	$27.59	$27.59
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.09 / $41.39 / $63.14	Professional		$27.09	$41.39	$63.14
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $15.56 / $15.56 / $15.56	Professional		$15.56	$15.56	$15.56
Fidelis Facility/Professional Professional Modifier 50 Low / Median / High Price $47.24 / $47.24 / $47.24	Professional	50	$47.24	$47.24	$47.24
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $30.54 / $555.00 / $597.00	Facility		$30.54	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $21.49 / $44.56 / $115.29	Professional		$21.49	$44.56	$115.29
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 $27.64 / $39.35 / $99.46	Professional		$27.64	$39.35	$99.46
Univera Facility/Professional Facility Modifier Low / Median / High Price $21.58 / $21.58 / $201.44	Facility		$21.58	$21.58	$201.44
Univera Facility/Professional Professional Modifier Low / Median / High Price $27.59 / $40.04 / $63.14	Professional		$27.59	$40.04	$63.14