Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.62 / $3,100.00 / $7,563.00	Facility		$53.62	$3,100.00	$7,563.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.44 / $50.29 / $83.45	Professional		$38.44	$50.29	$83.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,651.00 / $3,263.00 / $4,636.00	Facility		$1,651.00	$3,263.00	$4,636.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.42 / $46.47 / $96.07	Professional		$37.42	$46.47	$96.07
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $54.56 / $54.56 / $4,050.00	Facility		$54.56	$54.56	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $54.56 / $54.56 / $54.56	Professional		$54.56	$54.56	$54.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.47 / $44.47 / $1,538.00	Facility		$44.47	$44.47	$1,538.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $71.48 / $200.62	Professional		$36.00	$71.48	$200.62
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $47.50 / $72.00 / $332.00	Facility		$47.50	$72.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $39.86 / $52.99 / $79.29	Professional		$39.86	$52.99	$79.29
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.54 / $36.54 / $36.54	Facility		$36.54	$36.54	$36.54
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.29 / $45.91 / $71.25	Professional		$33.29	$45.91	$71.25
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $44.47 / $44.47 / $1,538.00	Facility		$44.47	$44.47	$1,538.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $41.43 / $65.39 / $149.15	Professional		$41.43	$65.39	$149.15
United Facility/Professional Facility Modifier Low / Median / High Price $671.00 / $2,597.00 / $4,840.00	Facility		$671.00	$2,597.00	$4,840.00
United Facility/Professional Professional Modifier Low / Median / High Price $32.94 / $48.19 / $116.48	Professional		$32.94	$48.19	$116.48
Univera Facility/Professional Facility Modifier Low / Median / High Price $45.91 / $45.91 / $197.92	Facility		$45.91	$45.91	$197.92
Univera Facility/Professional Professional Modifier Low / Median / High Price $39.02 / $51.49 / $97.60	Professional		$39.02	$51.49	$97.60