Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.38 / $3,020.00 / $7,735.00	Facility		$137.38	$3,020.00	$7,735.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.10 / $118.71 / $198.91	Professional		$97.10	$118.71	$198.91
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 $88.06 / $106.08 / $216.04	Professional		$88.06	$106.08	$216.04
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $138.78 / $138.78 / $37,499.62	Facility		$138.78	$138.78	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $138.78 / $138.78 / $138.78	Professional		$138.78	$138.78	$138.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.57 / $110.57 / $110.57	Facility		$110.57	$110.57	$110.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.14 / $162.51 / $336.56	Professional		$87.14	$162.51	$336.56
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $106.12 / $238.77 / $332.00	Facility		$106.12	$238.77	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $95.51 / $129.47 / $194.20	Professional		$95.51	$129.47	$194.20
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.35 / $90.35 / $90.35	Facility		$90.35	$90.35	$90.35
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.15 / $135.52 / $206.04	Professional		$80.15	$135.52	$206.04
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $110.57 / $110.57 / $74,999.25	Facility		$110.57	$110.57	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $94.69 / $144.88 / $303.45	Professional		$94.69	$144.88	$303.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,252.00 / $2,446.00 / $4,592.00	Facility		$1,252.00	$2,446.00	$4,592.00
United Facility/Professional Professional Modifier Low / Median / High Price $92.27 / $126.95 / $286.30	Professional		$92.27	$126.95	$286.30
Univera Facility/Professional Facility Modifier Low / Median / High Price $123.75 / $123.75 / $190.54	Facility		$123.75	$123.75	$190.54
Univera Facility/Professional Professional Modifier Low / Median / High Price $80.15 / $140.66 / $264.92	Professional		$80.15	$140.66	$264.92