Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.58 / $3,100.00 / $10,170.00	Facility		$121.58	$3,100.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.40 / $121.20 / $213.65	Professional		$98.40	$121.20	$213.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,401.00 / $3,191.00 / $4,612.00	Facility		$1,401.00	$3,191.00	$4,612.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.06 / $109.36 / $248.79	Professional		$88.06	$109.36	$248.79
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $150.01 / $150.01 / $37,499.62	Facility		$150.01	$150.01	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $150.01 / $150.01 / $150.01	Professional		$150.01	$150.01	$150.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.98 / $120.98 / $7,227.90	Facility		$120.98	$120.98	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.91 / $169.04 / $398.85	Professional		$91.91	$169.04	$398.85
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $104.00 / $173.34 / $346.00	Facility		$104.00	$173.34	$346.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $113.78 / $145.79 / $218.71	Professional		$113.78	$145.79	$218.71
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.32 / $97.32 / $97.32	Facility		$97.32	$97.32	$97.32
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.88 / $124.49 / $193.21	Professional		$85.88	$124.49	$193.21
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $120.98 / $555.00 / $7,227.90	Facility		$120.98	$555.00	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $109.16 / $159.84 / $368.18	Professional		$109.16	$159.84	$368.18
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 $90.66 / $125.95 / $301.24	Professional		$90.66	$125.95	$301.24
Univera Facility/Professional Facility Modifier Low / Median / High Price $124.49 / $124.49 / $430.72	Facility		$124.49	$124.49	$430.72
Univera Facility/Professional Professional Modifier Low / Median / High Price $85.88 / $139.62 / $264.66	Professional		$85.88	$139.62	$264.66