Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.00 / $4,386.00 / $7,839.00	Facility		$616.00	$4,386.00	$7,839.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.64 / $1.97 / $8.44	Professional		$1.64	$1.97	$8.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.09 / $9.09 / $23.63	Facility		$9.09	$9.09	$23.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.20 / $3.09 / $6.78	Professional		$1.20	$3.09	$6.78
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3.00 / $3.00 / $3.00	Facility		$3.00	$3.00	$3.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $3.00 / $3.00	Professional		$2.19	$3.00	$3.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.10 / $6.36 / $18.66	Facility		$2.10	$6.36	$18.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $1.58 / $43.81	Professional		$1.58	$1.58	$43.81
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $9.09 / $19.09 / $332.00	Facility		$9.09	$19.09	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3.64 / $5.05 / $17.00	Professional		$3.64	$5.05	$17.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.92 / $7.73 / $22.33	Professional		$1.92	$7.73	$22.33
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $3.57 / $7.66 / $29.59	Facility		$3.57	$7.66	$29.59
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $5.57 / $11.72	Professional		$1.58	$5.57	$11.72
United Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $2.43 / $6.43	Professional		$1.26	$2.43	$6.43
Univera Facility/Professional Facility Modifier Low / Median / High Price $9.47 / $9.47 / $9.47	Facility		$9.47	$9.47	$9.47
Univera Facility/Professional Professional Modifier Low / Median / High Price $1.92 / $8.52 / $22.33	Professional		$1.92	$8.52	$22.33