Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.21 / $3,100.00 / $10,170.00	Facility		$134.21	$3,100.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.67 / $133.76 / $225.41	Professional		$101.67	$133.76	$225.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $4,975.00 / $11,448.00	Facility		$3,283.00	$4,975.00	$11,448.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.28 / $114.60 / $259.60	Professional		$92.28	$114.60	$259.60
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $157.32 / $157.32 / $37,499.62	Facility		$157.32	$157.32	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $157.32 / $157.32 / $157.32	Professional		$157.32	$157.32	$157.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.87 / $127.87 / $7,227.90	Facility		$127.87	$127.87	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.42 / $183.11 / $415.82	Professional		$95.42	$183.11	$415.82
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $133.32 / $216.07 / $397.70	Facility		$133.32	$216.07	$397.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $120.04 / $153.88 / $230.75	Professional		$120.04	$153.88	$230.75
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.89 / $102.89 / $102.89	Facility		$102.89	$102.89	$102.89
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.46 / $131.56 / $204.19	Professional		$89.46	$131.56	$204.19
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $127.87 / $555.00 / $7,227.90	Facility		$127.87	$555.00	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $115.48 / $169.18 / $385.48	Professional		$115.48	$169.18	$385.48
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 $94.98 / $137.90 / $314.25	Professional		$94.98	$137.90	$314.25
Univera Facility/Professional Facility Modifier Low / Median / High Price $131.56 / $131.56 / $470.93	Facility		$131.56	$131.56	$470.93
Univera Facility/Professional Professional Modifier Low / Median / High Price $91.38 / $147.55 / $279.69	Professional		$91.38	$147.55	$279.69