Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.89 / $3,100.00 / $7,343.00	Facility		$98.89	$3,100.00	$7,343.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.02 / $96.23 / $185.29	Professional		$70.02	$96.23	$185.29
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 $67.87 / $86.25 / $195.94	Professional		$67.87	$86.25	$195.94
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $101.53 / $101.53 / $4,050.00	Facility		$101.53	$101.53	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $101.53 / $101.53 / $122.54	Professional		$101.53	$101.53	$122.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.03 / $57.03 / $119.99	Facility		$57.03	$57.03	$119.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.90 / $101.90 / $242.18	Professional		$59.90	$101.90	$242.18
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $77.00 / $123.20 / $332.00	Facility		$77.00	$123.20	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $92.83 / $113.87 / $177.28	Professional		$92.83	$113.87	$177.28
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.57 / $80.41 / $158.12	Professional		$43.57	$80.41	$158.12
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $57.03 / $555.00 / $74,999.25	Facility		$57.03	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $68.59 / $106.17 / $244.23	Professional		$68.59	$106.17	$244.23
United Facility/Professional Facility Modifier Low / Median / High Price $767.00 / $2,744.00 / $4,840.00	Facility		$767.00	$2,744.00	$4,840.00
United Facility/Professional Professional Modifier Low / Median / High Price $66.42 / $92.41 / $204.78	Professional		$66.42	$92.41	$204.78
Univera Facility/Professional Facility Modifier Low / Median / High Price $97.54 / $97.54 / $190.48	Facility		$97.54	$97.54	$190.48
Univera Facility/Professional Professional Modifier Low / Median / High Price $43.57 / $97.54 / $190.48	Professional		$43.57	$97.54	$190.48