Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.59 / $2,626.00 / $9,868.00	Facility		$17.59	$2,626.00	$9,868.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.35 / $16.87 / $46.12	Professional		$14.35	$16.87	$46.12
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 $14.75 / $17.75 / $36.92	Professional		$14.75	$17.75	$36.92
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $23.16 / $23.16 / $4,050.00	Facility		$23.16	$23.16	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $23.16 / $23.16 / $26.03	Professional		$23.16	$23.16	$26.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.25 / $27.25 / $14,648.00	Facility		$27.25	$27.25	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.56 / $22.79 / $49.86	Professional		$11.56	$22.79	$49.86
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $25.00 / $332.00	Facility		$15.00	$25.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $21.20 / $24.92 / $51.30	Professional		$21.20	$24.92	$51.30
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.28 / $24.20 / $46.86	Professional		$15.28	$24.20	$46.86
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $27.25 / $555.00 / $74,999.25	Facility		$27.25	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $24.65 / $55.75	Professional		$14.73	$24.65	$55.75
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 $12.22 / $21.17 / $44.01	Professional		$12.22	$21.17	$44.01
Univera Facility/Professional Facility Modifier Low / Median / High Price $17.30 / $17.30 / $59.55	Facility		$17.30	$17.30	$59.55
Univera Facility/Professional Professional Modifier Low / Median / High Price $16.79 / $25.16 / $49.15	Professional		$16.79	$25.16	$49.15