Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.04 / $94.00 / $4,276.67	Facility		$90.04	$94.00	$4,276.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.36 / $94.00 / $103.40	Professional		$88.36	$94.00	$103.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $254.94 / $313.00 / $525.40	Professional		$254.94	$313.00	$525.40
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,350.00 / $1,350.00 / $4,050.00	Facility		$1,350.00	$1,350.00	$4,050.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.52 / $124.52 / $124.52	Facility		$124.52	$124.52	$124.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $484.89 / $484.89 / $484.89	Professional		$484.89	$484.89	$484.89
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $33.52 / $70.39 / $332.00	Facility		$33.52	$70.39	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $35.20 / $48.60 / $72.73	Professional		$35.20	$48.60	$72.73
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.84 / $50.28 / $65.03	Professional		$31.84	$50.28	$65.03
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $124.52 / $555.00 / $74,999.25	Facility		$124.52	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $484.89 / $484.89 / $484.89	Professional		$484.89	$484.89	$484.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,079.00 / $2,826.00 / $4,851.00	Facility		$1,079.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $29.54 / $41.94 / $159.18	Professional		$29.54	$41.94	$159.18
Univera Facility/Professional Facility Modifier Low / Median / High Price $33.52 / $33.52 / $33.54	Facility		$33.52	$33.52	$33.54
Univera Facility/Professional Professional Modifier Low / Median / High Price $33.52 / $33.54 / $70.31	Professional		$33.52	$33.54	$70.31