Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.98 / $2,865.00 / $7,839.00	Facility		$61.98	$2,865.00	$7,839.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.08 / $131.07 / $276.33	Professional		$42.08	$131.07	$276.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,366.00 / $4,707.00	Facility		$1,691.00	$3,366.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.89 / $150.68 / $402.71	Professional		$109.89	$150.68	$402.71
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $64.89 / $64.89 / $4,050.00	Facility		$64.89	$64.89	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $64.89 / $64.89 / $306.95	Professional		$64.89	$64.89	$306.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.98 / $74.98 / $14,648.00	Facility		$74.98	$74.98	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.23 / $199.05 / $567.13	Professional		$49.23	$199.05	$567.13
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $51.80 / $74.45 / $332.00	Facility		$51.80	$74.45	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $214.51 / $290.77 / $436.16	Professional		$214.51	$290.77	$436.16
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $145.72 / $257.66 / $444.77	Professional		$145.72	$257.66	$444.77
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $74.98 / $74.98 / $597.00	Facility		$74.98	$74.98	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $53.83 / $224.04 / $575.87	Professional		$53.83	$224.04	$575.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,079.00 / $2,884.00 / $4,840.00	Facility		$1,079.00	$2,884.00	$4,840.00
United Facility/Professional Professional Modifier Low / Median / High Price $182.54 / $254.37 / $565.88	Professional		$182.54	$254.37	$565.88
Univera Facility/Professional Facility Modifier Low / Median / High Price $53.12 / $53.12 / $214.92	Facility		$53.12	$53.12	$214.92
Univera Facility/Professional Professional Modifier Low / Median / High Price $134.03 / $224.53 / $444.77	Professional		$134.03	$224.53	$444.77