Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.65 / $3,316.00 / $9,038.00	Facility		$64.65	$3,316.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $60.84 / $88.60	Professional		$50.12	$60.84	$88.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,655.00 / $3,280.00 / $4,707.00	Facility		$1,655.00	$3,280.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.22 / $49.97 / $108.57	Professional		$40.22	$49.97	$108.57
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $71.42 / $71.42 / $71.42	Facility		$71.42	$71.42	$71.42
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $71.42 / $71.42 / $71.42	Professional		$71.42	$71.42	$71.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.01 / $57.01 / $57.01	Facility		$57.01	$57.01	$57.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.52 / $81.59 / $172.97	Professional		$45.52	$81.59	$172.97
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $59.93 / $97.00 / $332.00	Facility		$59.93	$97.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $48.20 / $65.33 / $98.00	Professional		$48.20	$65.33	$98.00
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.10 / $46.10 / $46.10	Facility		$46.10	$46.10	$46.10
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.03 / $68.22 / $106.28	Professional		$34.03	$68.22	$106.28
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $57.01 / $57.01 / $74,999.25	Facility		$57.01	$57.01	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $52.71 / $72.90 / $154.63	Professional		$52.71	$72.90	$154.63
United Facility/Professional Facility Modifier Low / Median / High Price $1,101.00 / $2,472.00 / $4,583.00	Facility		$1,101.00	$2,472.00	$4,583.00
United Facility/Professional Professional Modifier Low / Median / High Price $45.64 / $63.66 / $137.41	Professional		$45.64	$63.66	$137.41
Univera Facility/Professional Facility Modifier Low / Median / High Price $63.83 / $63.83 / $196.30	Facility		$63.83	$63.83	$196.30
Univera Facility/Professional Professional Modifier Low / Median / High Price $40.79 / $71.77 / $138.68	Professional		$40.79	$71.77	$138.68