Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $2,884.03 / $7,762.47	Facility		$83.18	$2,884.03	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $79.43 / $229.09	Professional		$48.98	$79.43	$229.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,630.78 / $5,011.87	Facility		$1,819.70	$3,630.78	$5,011.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $85.11 / $204.17	Professional		$66.07	$85.11	$204.17
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $1,258.93 / $6,165.95	Facility		$79.43	$1,258.93	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $134.90	Professional		$79.43	$79.43	$134.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $95.50 / $53,703.18	Facility		$34.67	$95.50	$53,703.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $100.00 / $208.93	Professional		$53.70	$100.00	$208.93
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $58.88 / $138.04	Facility		$33.11	$58.88	$138.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $138.04 / $234.42	Professional		$120.23	$138.04	$234.42
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $100.00 / $173.78	Professional		$60.26	$100.00	$173.78
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $50,118.72 / $75,857.76	Facility		$67.61	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $125.89 / $144.54	Professional		$100.00	$125.89	$144.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,754.23 / $4,897.79	Facility		$1,258.93	$2,754.23	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $75.86 / $177.83	Professional		$40.74	$75.86	$177.83
Univera Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $58.88 / $104.71	Facility		$40.74	$58.88	$104.71
Univera Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $100.00 / $173.78	Professional		$58.88	$100.00	$173.78