Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.09 / $3,100.00 / $10,170.00	Facility		$139.09	$3,100.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.84 / $139.09 / $225.75	Professional		$112.84	$139.09	$225.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,070.00 / $6,992.00 / $12,173.00	Facility		$4,070.00	$6,992.00	$12,173.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.82 / $117.75 / $279.92	Professional		$94.82	$117.75	$279.92
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $161.16 / $1,254.00 / $10,957.50	Facility		$161.16	$1,254.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $161.16 / $161.16 / $161.16	Professional		$161.16	$161.16	$161.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.34 / $129.34 / $7,227.90	Facility		$129.34	$129.34	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.44 / $205.52 / $428.14	Professional		$97.44	$205.52	$428.14
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $189.04 / $346.00	Facility		$130.00	$189.04	$346.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $120.22 / $154.86 / $231.09	Professional		$120.22	$154.86	$231.09
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $103.30 / $103.30 / $103.30	Facility		$103.30	$103.30	$103.30
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.21 / $132.49 / $205.63	Professional		$91.21	$132.49	$205.63
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $129.34 / $555.00 / $7,227.90	Facility		$129.34	$555.00	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $120.20 / $180.90 / $394.69	Professional		$120.20	$180.90	$394.69
United Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $4,194.00 / $9,020.04	Facility		$996.00	$4,194.00	$9,020.04
United Facility/Professional Professional Modifier Low / Median / High Price $102.66 / $143.46 / $321.36	Professional		$102.66	$143.46	$321.36
Univera Facility/Professional Facility Modifier Low / Median / High Price $132.49 / $132.49 / $343.03	Facility		$132.49	$132.49	$343.03
Univera Facility/Professional Professional Modifier Low / Median / High Price $91.21 / $148.59 / $281.67	Professional		$91.21	$148.59	$281.67