Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.08 / $2,626.00 / $7,343.00	Facility		$80.08	$2,626.00	$7,343.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.02 / $76.56 / $136.81	Professional		$48.02	$76.56	$136.81
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 $63.38 / $78.70 / $180.30	Professional		$63.38	$78.70	$180.30
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $69.84 / $69.84 / $4,050.00	Facility		$69.84	$69.84	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $69.84 / $69.84 / $105.65	Professional		$69.84	$69.84	$105.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.87 / $82.87 / $14,648.00	Facility		$82.87	$82.87	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.81 / $103.79 / $255.36	Professional		$53.81	$103.79	$255.36
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $49.45 / $78.81 / $332.00	Facility		$49.45	$78.81	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $76.88 / $104.30 / $152.35	Professional		$76.88	$104.30	$152.35
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.02 / $66.02 / $66.02	Facility		$66.02	$66.02	$66.02
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.05 / $83.24 / $151.05	Professional		$65.05	$83.24	$151.05
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $82.87 / $555.00 / $597.00	Facility		$82.87	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $58.39 / $103.25 / $255.77	Professional		$58.39	$103.25	$255.77
United Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,826.00 / $4,851.00	Facility		$964.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $66.14 / $99.47 / $228.45	Professional		$66.14	$99.47	$228.45
Univera Facility/Professional Facility Modifier Low / Median / High Price $56.32 / $56.32 / $142.35	Facility		$56.32	$56.32	$142.35
Univera Facility/Professional Professional Modifier Low / Median / High Price $66.02 / $89.05 / $151.05	Professional		$66.02	$89.05	$151.05