Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.09 / $5,228.00 / $10,686.00	Facility		$34.09	$5,228.00	$10,686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.69 / $63.96 / $158.52	Professional		$16.69	$63.96	$158.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,382.00 / $4,707.00	Facility		$1,691.00	$3,382.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.13 / $127.17 / $212.18	Professional		$21.13	$127.17	$212.18
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $21.20 / $21.20 / $21.20	Facility		$21.20	$21.20	$21.20
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $21.20 / $21.20 / $170.16	Professional		$21.20	$21.20	$170.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.43 / $19.43 / $19.43	Facility		$19.43	$19.43	$19.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.09 / $88.09 / $90.08	Professional		$88.09	$88.09	$90.08
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $16.87 / $24.74 / $332.00	Facility		$16.87	$24.74	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $116.12 / $137.22 / $283.27	Professional		$116.12	$137.22	$283.27
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.45 / $113.78 / $255.15	Professional		$86.45	$113.78	$255.15
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $19.43 / $555.00 / $74,999.25	Facility		$19.43	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $69.00 / $90.08 / $186.44	Professional		$69.00	$90.08	$186.44
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 $70.84 / $117.07 / $274.27	Professional		$70.84	$117.07	$274.27
Univera Facility/Professional Facility Modifier Low / Median / High Price $15.70 / $15.70 / $15.70	Facility		$15.70	$15.70	$15.70
Univera Facility/Professional Professional Modifier Low / Median / High Price $15.70 / $106.45 / $255.15	Professional		$15.70	$106.45	$255.15