Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.33 / $2,842.00 / $10,152.00	Facility		$59.33	$2,842.00	$10,152.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.10 / $62.04 / $134.16	Professional		$43.10	$62.04	$134.16
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 $46.71 / $60.68 / $152.19	Professional		$46.71	$60.68	$152.19
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $73.42 / $73.42 / $4,050.00	Facility		$73.42	$73.42	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $73.42 / $73.42 / $112.57	Professional		$73.42	$73.42	$112.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.45 / $88.45 / $14,648.00	Facility		$88.45	$88.45	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.72 / $87.28 / $189.22	Professional		$44.72	$87.28	$189.22
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $41.00 / $72.66 / $332.00	Facility		$41.00	$72.66	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $96.66 / $112.57 / $238.75	Professional		$96.66	$112.57	$238.75
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.57 / $76.70 / $150.50	Professional		$61.57	$76.70	$150.50
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $88.45 / $555.00 / $74,999.25	Facility		$88.45	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $53.14 / $99.54 / $212.46	Professional		$53.14	$99.54	$212.46
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 $53.93 / $93.35 / $203.31	Professional		$53.93	$93.35	$203.31
Univera Facility/Professional Facility Modifier Low / Median / High Price $55.21 / $55.21 / $178.24	Facility		$55.21	$55.21	$178.24
Univera Facility/Professional Professional Modifier Low / Median / High Price $56.34 / $87.44 / $171.95	Professional		$56.34	$87.44	$171.95