Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.00 / $113.59 / $363.00	Facility		$19.00	$113.59	$363.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.48 / $21.26 / $45.85	Professional		$17.48	$21.26	$45.85
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $87.41 / $87.41 / $87.41	Professional	CO	$87.41	$87.41	$87.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $654.00 / $664.00 / $919.00	Facility		$654.00	$664.00	$919.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.04 / $34.63 / $75.00	Professional		$20.04	$34.63	$75.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $60.05 / $60.05 / $60.05	Facility		$60.05	$60.05	$60.05
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $60.05 / $60.05 / $60.05	Professional		$60.05	$60.05	$60.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.03 / $80.00 / $226.00	Facility		$36.03	$80.00	$226.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.05 / $66.00 / $115.68	Professional		$23.05	$66.00	$115.68
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $35.01 / $78.77 / $332.00	Facility		$35.01	$78.77	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $36.76 / $45.00 / $78.67	Professional		$36.76	$45.00	$78.67
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.88 / $36.97 / $37.35	Facility		$29.88	$36.97	$37.35
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.51 / $28.02 / $48.89	Professional		$24.51	$28.02	$48.89
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $36.03 / $555.00 / $597.00	Facility		$36.03	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $26.09 / $49.07 / $112.19	Professional		$26.09	$49.07	$112.19
United Facility/Professional Professional Modifier Low / Median / High Price $23.26 / $30.98 / $59.27	Professional		$23.26	$30.98	$59.27
Univera Facility/Professional Facility Modifier Low / Median / High Price $29.88 / $35.04 / $85.11	Facility		$29.88	$35.04	$85.11
Univera Facility/Professional Professional Modifier Low / Median / High Price $26.14 / $30.99 / $75.81	Professional		$26.14	$30.99	$75.81