Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.17 / $3,100.00 / $10,170.00	Facility		$99.17	$3,100.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.12 / $96.59 / $165.47	Professional		$78.12	$96.59	$165.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,977.00 / $9,519.00 / $23,671.00	Facility		$4,977.00	$9,519.00	$23,671.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.69 / $81.56 / $190.28	Professional		$65.69	$81.56	$190.28
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $115.64 / $1,254.00 / $4,050.00	Facility		$115.64	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $115.64 / $115.64 / $115.64	Professional		$115.64	$115.64	$115.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.41 / $93.41 / $7,227.90	Facility		$93.41	$93.41	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.97 / $135.91 / $308.38	Professional		$70.97	$135.91	$308.38
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $87.00 / $137.71 / $332.00	Facility		$87.00	$137.71	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $88.12 / $112.87 / $169.38	Professional		$88.12	$112.87	$169.38
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.25 / $75.25 / $75.25	Facility		$75.25	$75.25	$75.25
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.06 / $96.01 / $149.01	Professional		$55.06	$96.01	$149.01
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $93.41 / $555.00 / $7,227.90	Facility		$93.41	$555.00	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $85.75 / $123.61 / $282.01	Professional		$85.75	$123.61	$282.01
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 $73.44 / $97.49 / $227.22	Professional		$73.44	$97.49	$227.22
Univera Facility/Professional Facility Modifier Low / Median / High Price $96.01 / $96.01 / $208.50	Facility		$96.01	$96.01	$208.50
Univera Facility/Professional Professional Modifier Low / Median / High Price $55.06 / $101.07 / $204.11	Professional		$55.06	$101.07	$204.11