Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.84 / $2,660.00 / $9,038.00	Facility		$42.84	$2,660.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.03 / $118.41 / $234.35	Professional		$28.03	$118.41	$234.35
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 $52.47 / $119.33 / $289.89	Professional		$52.47	$119.33	$289.89
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $43.41 / $1,254.00 / $4,050.00	Facility		$43.41	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $43.41 / $43.41 / $179.00	Professional		$43.41	$43.41	$179.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.00 / $51.00 / $51.00	Facility		$51.00	$51.00	$51.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.78 / $127.14 / $395.48	Professional		$34.78	$127.14	$395.48
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $31.00 / $46.50 / $332.00	Facility		$31.00	$46.50	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $121.76 / $171.46 / $252.02	Professional		$121.76	$171.46	$252.02
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.56 / $104.56 / $104.56	Facility		$104.56	$104.56	$104.56
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.01 / $134.76 / $244.77	Professional		$92.01	$134.76	$244.77
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $51.00 / $555.00 / $597.00	Facility		$51.00	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $37.78 / $157.54 / $398.02	Professional		$37.78	$157.54	$398.02
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 $111.13 / $166.70 / $402.59	Professional		$111.13	$166.70	$402.59
Univera Facility/Professional Facility Modifier Low / Median / High Price $35.04 / $35.04 / $104.56	Facility		$35.04	$35.04	$104.56
Univera Facility/Professional Professional Modifier Low / Median / High Price $80.20 / $134.76 / $244.77	Professional		$80.20	$134.76	$244.77