Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.68 / $2,626.00 / $7,095.00	Facility		$37.68	$2,626.00	$7,095.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.26 / $52.94 / $110.60	Professional		$29.26	$52.94	$110.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,333.00 / $4,636.00	Facility		$1,691.00	$3,333.00	$4,636.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.69 / $50.53 / $132.05	Professional		$40.69	$50.53	$132.05
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $35.85 / $35.85 / $35.85	Facility		$35.85	$35.85	$35.85
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $35.85 / $35.85 / $64.48	Professional		$35.85	$35.85	$64.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.95 / $42.95 / $14,648.00	Facility		$42.95	$42.95	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.16 / $66.67 / $163.65	Professional		$29.16	$66.67	$163.65
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $26.18 / $42.17 / $332.00	Facility		$26.18	$42.17	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $50.43 / $59.33 / $88.80	Professional		$50.43	$59.33	$88.80
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.27 / $64.25 / $89.52	Professional		$36.27	$64.25	$89.52
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $55.47 / $55.47 / $55.47	Professional		$55.47	$55.47	$55.47
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $42.95 / $42.95 / $74,999.25	Facility		$42.95	$42.95	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $33.72 / $70.88 / $173.99	Professional		$33.72	$70.88	$173.99
United Facility/Professional Facility Modifier Low / Median / High Price $1,079.00 / $2,826.00 / $4,851.00	Facility		$1,079.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $36.95 / $58.21 / $176.69	Professional		$36.95	$58.21	$176.69
Univera Facility/Professional Facility Modifier Low / Median / High Price $32.86 / $32.86 / $96.27	Facility		$32.86	$32.86	$96.27
Univera Facility/Professional Professional Modifier Low / Median / High Price $36.27 / $64.25 / $89.52	Professional		$36.27	$64.25	$89.52