Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.13 / $52.83 / $1,926.20	Facility		$22.13	$52.83	$1,926.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.13 / $34.35 / $61.73	Professional		$18.13	$34.35	$61.73
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 / $91.96	Professional		$22.95	$29.77	$91.96
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $34.43 / $43.66 / $137.80	Professional	50	$34.43	$43.66	$137.80
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $25.98 / $25.98 / $4,050.00	Facility		$25.98	$25.98	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $25.98 / $25.98 / $43.17	Professional		$25.98	$25.98	$43.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.08 / $31.08 / $14,648.00	Facility		$31.08	$31.08	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.39 / $40.50 / $100.02	Professional		$19.39	$40.50	$100.02
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $21.00 / $38.00 / $332.00	Facility		$21.00	$38.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $33.84 / $46.27 / $69.77	Professional		$33.84	$46.27	$69.77
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.52 / $27.52 / $27.52	Facility		$27.52	$27.52	$27.52
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.79 / $41.28 / $62.44	Professional		$26.79	$41.28	$62.44
Fidelis Facility/Professional Professional Modifier 50 Low / Median / High Price $23.68 / $23.68 / $47.36	Professional	50	$23.68	$23.68	$47.36
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $31.08 / $555.00 / $597.00	Facility		$31.08	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $21.09 / $43.00 / $108.85	Professional		$21.09	$43.00	$108.85
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 $28.07 / $41.76 / $91.89	Professional		$28.07	$41.76	$91.89
Univera Facility/Professional Facility Modifier Low / Median / High Price $21.58 / $21.58 / $168.94	Facility		$21.58	$21.58	$168.94
Univera Facility/Professional Professional Modifier Low / Median / High Price $27.52 / $39.60 / $62.44	Professional		$27.52	$39.60	$62.44