Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.60 / $2,842.00 / $7,307.00	Facility		$95.60	$2,842.00	$7,307.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.15 / $96.56 / $219.89	Professional		$49.15	$96.56	$219.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $3,373.00 / $4,707.00	Facility		$1,689.00	$3,373.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.58 / $88.46 / $290.20	Professional		$67.58	$88.46	$290.20
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $61.48 / $61.48 / $4,050.00	Facility		$61.48	$61.48	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $61.48 / $61.48 / $112.57	Professional		$61.48	$61.48	$112.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.15 / $74.15 / $74.15	Facility		$74.15	$74.15	$74.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.16 / $138.63 / $351.38	Professional		$55.16	$138.63	$351.38
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $51.80 / $78.75 / $332.00	Facility		$51.80	$78.75	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $89.77 / $120.65 / $195.25	Professional		$89.77	$120.65	$195.25
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.38 / $73.38 / $73.38	Facility		$73.38	$73.38	$73.38
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.33 / $107.69 / $169.31	Professional		$67.33	$107.69	$169.31
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $74.15 / $555.00 / $597.00	Facility		$74.15	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $59.93 / $134.97 / $367.33	Professional		$59.93	$134.97	$367.33
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.00 / $3,496.00 / $6,201.00	Facility		$1,348.00	$3,496.00	$6,201.00
United Facility/Professional Professional Modifier Low / Median / High Price $69.62 / $108.79 / $289.77	Professional		$69.62	$108.79	$289.77
Univera Facility/Professional Facility Modifier Low / Median / High Price $50.64 / $50.64 / $408.37	Facility		$50.64	$50.64	$408.37
Univera Facility/Professional Professional Modifier Low / Median / High Price $73.38 / $107.69 / $169.31	Professional		$73.38	$107.69	$169.31