Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.34 / $3,859.00 / $9,038.00	Facility		$169.34	$3,859.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.84 / $134.81 / $532.91	Professional		$115.84	$134.81	$532.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,142.00 / $9,074.00	Facility		$2,393.00	$4,142.00	$9,074.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.50 / $110.95 / $231.67	Professional		$87.50	$110.95	$231.67
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $174.78 / $174.78 / $4,050.00	Facility		$174.78	$174.78	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $174.78 / $174.78 / $174.78	Professional		$174.78	$174.78	$174.78
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $118.00 / $190.40 / $332.00	Facility		$118.00	$190.40	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $137.77 / $208.87 / $383.00	Professional		$137.77	$208.87	$383.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.58 / $116.04 / $151.43	Professional		$106.58	$116.04	$151.43
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $74,999.25	Facility		$555.00	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $46.21 / $211.06 / $456.50	Professional		$46.21	$211.06	$456.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,768.00 / $3,961.00 / $8,312.00	Facility		$1,768.00	$3,961.00	$8,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $110.06 / $152.75 / $306.41	Professional		$110.06	$152.75	$306.41
Univera Facility/Professional Facility Modifier Low / Median / High Price $132.47 / $132.47 / $216.29	Facility		$132.47	$132.47	$216.29
Univera Facility/Professional Professional Modifier Low / Median / High Price $100.76 / $132.47 / $261.38	Professional		$100.76	$132.47	$261.38