Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.93 / $129.24 / $41,844.00	Facility		$53.93	$129.24	$41,844.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.93 / $66.09 / $145.57	Professional		$53.93	$66.09	$145.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,909.00 / $13,155.00 / $27,864.00	Facility		$3,909.00	$13,155.00	$27,864.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.81 / $62.50 / $133.44	Professional		$47.81	$62.50	$133.44
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $80.51 / $1,254.00 / $4,050.00	Facility		$80.51	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $80.51 / $80.51 / $80.51	Professional		$80.51	$80.51	$80.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.04 / $10,210.00 / $15,351.00	Facility		$58.04	$10,210.00	$15,351.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.61 / $88.49 / $191.21	Professional		$59.61	$88.49	$191.21
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $40.54 / $73.14 / $332.00	Facility		$40.54	$73.14	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $52.46 / $69.50 / $101.73	Professional		$52.46	$69.50	$101.73
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.59 / $52.46 / $87.48	Professional		$44.59	$52.46	$87.48
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $10,677.00 / $15,351.00	Facility		$555.00	$10,677.00	$15,351.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $59.99 / $95.58 / $173.82	Professional		$59.99	$95.58	$173.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,079.00 / $3,166.00 / $12,243.00	Facility		$1,079.00	$3,166.00	$12,243.00
United Facility/Professional Professional Modifier Low / Median / High Price $55.50 / $75.51 / $155.00	Professional		$55.50	$75.51	$155.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $69.42 / $69.42 / $181.77	Facility		$69.42	$69.42	$181.77
Univera Facility/Professional Professional Modifier Low / Median / High Price $46.88 / $69.42 / $128.19	Professional		$46.88	$69.42	$128.19