Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.70 / $3,731.00 / $9,038.00	Facility		$64.70	$3,731.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.68 / $63.07 / $126.09	Professional		$50.68	$63.07	$126.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,366.00 / $4,707.00	Facility		$1,691.00	$3,366.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.20 / $48.64 / $111.89	Professional		$37.20	$48.64	$111.89
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $66.51 / $66.51 / $66.51	Facility		$66.51	$66.51	$66.51
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $66.51 / $66.51 / $66.51	Professional		$66.51	$66.51	$66.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.67 / $54.67 / $14,648.00	Facility		$54.67	$54.67	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.29 / $80.06 / $172.34	Professional		$39.29	$80.06	$172.34
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $54.76 / $97.00 / $332.00	Facility		$54.76	$97.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $49.28 / $65.70 / $94.73	Professional		$49.28	$65.70	$94.73
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.89 / $46.68 / $80.98	Professional		$31.89	$46.68	$80.98
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $40.58 / $54.67 / $74,999.25	Facility		$40.58	$54.67	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $40.06 / $79.27 / $179.44	Professional		$40.06	$79.27	$179.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,079.00 / $2,826.00 / $4,851.00	Facility		$1,079.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $47.47 / $63.46 / $155.11	Professional		$47.47	$63.46	$155.11
Univera Facility/Professional Facility Modifier Low / Median / High Price $59.41 / $59.41 / $187.88	Facility		$59.41	$59.41	$187.88
Univera Facility/Professional Professional Modifier Low / Median / High Price $31.89 / $67.20 / $118.70	Professional		$31.89	$67.20	$118.70