Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.93 / $3,100.00 / $10,170.00	Facility		$125.93	$3,100.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.80 / $183.53 / $300.27	Professional		$92.80	$183.53	$300.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,079.00 / $7,264.00 / $12,538.00	Facility		$4,079.00	$7,264.00	$12,538.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.12 / $210.84 / $458.77	Professional		$162.12	$210.84	$458.77
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $139.66 / $139.66 / $139.66	Facility		$139.66	$139.66	$139.66
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $139.66 / $139.66 / $305.33	Professional		$139.66	$139.66	$305.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.24 / $160.74 / $160.74	Facility		$118.24	$160.74	$160.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.89 / $245.59 / $573.49	Professional		$108.89	$245.59	$573.49
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $121.64 / $332.00	Facility		$55.00	$121.64	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $237.12 / $321.43 / $467.50	Professional		$237.12	$321.43	$467.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $168.94 / $283.13 / $483.29	Professional		$168.94	$283.13	$483.29
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $125.00 / $160.74 / $597.00	Facility		$125.00	$160.74	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $113.90 / $262.27 / $563.97	Professional		$113.90	$262.27	$563.97
United Facility/Professional Professional Modifier Low / Median / High Price $187.61 / $252.79 / $600.42	Professional		$187.61	$252.79	$600.42
Univera Facility/Professional Facility Modifier Low / Median / High Price $106.68 / $106.68 / $418.10	Facility		$106.68	$106.68	$418.10
Univera Facility/Professional Professional Modifier Low / Median / High Price $168.94 / $283.13 / $483.29	Professional		$168.94	$283.13	$483.29