Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $2,630.27 / $7,413.10	Facility		$29.51	$2,630.27	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $26.92 / $89.13	Professional		$18.20	$26.92	$89.13
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 $21.38 / $26.92 / $67.61	Professional		$21.38	$26.92	$67.61
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $4,073.80	Facility		$30.20	$30.20	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $38.02	Professional		$30.20	$30.20	$38.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $53,703.18	Facility		$34.67	$34.67	$53,703.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $42.66 / $95.50	Professional		$20.89	$42.66	$95.50
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $34.67 / $69.18	Facility		$20.89	$34.67	$69.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $37.15 / $53.70	Professional		$27.54	$37.15	$53.70
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $34.67 / $66.07	Professional		$22.39	$34.67	$66.07
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $50,118.72 / $75,857.76	Facility		$23.44	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $40.74 / $398.11	Professional		$33.88	$40.74	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,754.23 / $4,897.79	Facility		$1,318.26	$2,754.23	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $27.54 / $69.18	Professional		$14.79	$27.54	$69.18
Univera Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $22.39 / $83.18	Facility		$16.98	$22.39	$83.18
Univera Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $30.20 / $69.18	Professional		$21.38	$30.20	$69.18