Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.96 / $2,626.00 / $7,307.00	Facility		$60.96	$2,626.00	$7,307.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.27 / $62.19 / $128.06	Professional		$38.27	$62.19	$128.06
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 $46.06 / $67.09 / $148.32	Professional		$46.06	$67.09	$148.32
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $63.20 / $1,254.00 / $6,213.00	Facility		$63.20	$1,254.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $63.20 / $63.20 / $116.67	Professional		$63.20	$63.20	$116.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.58 / $74.58 / $14,648.00	Facility		$74.58	$74.58	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.56 / $79.81 / $179.41	Professional		$40.56	$79.81	$179.41
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $27.00 / $55.35 / $332.00	Facility		$27.00	$55.35	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $92.57 / $107.66 / $228.65	Professional		$92.57	$107.66	$228.65
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.01 / $77.75 / $148.40	Professional		$45.01	$77.75	$148.40
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $74.58 / $555.00 / $74,999.25	Facility		$74.58	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $49.67 / $92.65 / $199.57	Professional		$49.67	$92.65	$199.57
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 $49.23 / $89.03 / $198.05	Professional		$49.23	$89.03	$198.05
Univera Facility/Professional Facility Modifier Low / Median / High Price $46.90 / $46.90 / $90.55	Facility		$46.90	$46.90	$90.55
Univera Facility/Professional Professional Modifier Low / Median / High Price $45.01 / $86.22 / $169.55	Professional		$45.01	$86.22	$169.55