Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.20 / $78.20 / $149.44	Facility		$46.20	$78.20	$149.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.71 / $76.09 / $132.35	Professional		$41.71	$76.09	$132.35
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 $63.94 / $82.74 / $191.82	Professional		$63.94	$82.74	$191.82
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $61.22 / $61.22 / $4,050.00	Facility		$61.22	$61.22	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $61.22 / $61.22 / $118.04	Professional		$61.22	$61.22	$118.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.72 / $74.72 / $14,648.00	Facility		$74.72	$74.72	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.02 / $102.81 / $264.99	Professional		$47.02	$102.81	$264.99
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $44.00 / $67.73 / $332.00	Facility		$44.00	$67.73	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $96.96 / $138.19 / $203.94	Professional		$96.96	$138.19	$203.94
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.26 / $83.26 / $83.26	Facility		$83.26	$83.26	$83.26
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.81 / $89.10 / $184.91	Professional		$66.81	$89.10	$184.91
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $74.72 / $555.00 / $597.00	Facility		$74.72	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $48.02 / $108.12 / $264.18	Professional		$48.02	$108.12	$264.18
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 $73.48 / $110.21 / $292.08	Professional		$73.48	$110.21	$292.08
Univera Facility/Professional Facility Modifier Low / Median / High Price $51.91 / $51.91 / $208.54	Facility		$51.91	$51.91	$208.54
Univera Facility/Professional Professional Modifier Low / Median / High Price $66.81 / $110.35 / $184.91	Professional		$66.81	$110.35	$184.91