Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $40.74 / $1,698.24	Facility		$22.39	$40.74	$1,698.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $33.11 / $72.44	Professional		$19.05	$33.11	$72.44
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 $23.44 / $29.51 / $85.11	Professional		$23.44	$29.51	$85.11
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $27.54 / $4,073.80	Facility		$27.54	$27.54	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $42.66	Professional		$27.54	$27.54	$42.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $50,118.72	Facility		$32.36	$32.36	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $42.66 / $114.82	Professional		$20.89	$42.66	$114.82
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $37.15 / $64.57	Facility		$18.62	$37.15	$64.57
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $46.77 / $64.57	Professional		$33.11	$46.77	$64.57
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Facility		$26.92	$26.92	$26.92
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $40.74 / $61.66	Professional		$26.30	$40.74	$61.66
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $30.90 / $31.62	Professional		$15.49	$30.90	$31.62
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $50,118.72 / $53,703.18 / $75,857.76	Facility		$50,118.72	$53,703.18	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $51.29 / $398.11	Professional		$34.67	$51.29	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $2,754.23 / $4,897.79	Facility		$831.76	$2,754.23	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $32.36 / $81.28	Professional		$17.78	$32.36	$81.28
Univera Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $22.91 / $162.18	Facility		$15.49	$22.91	$162.18
Univera Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $38.02 / $79.43	Professional		$23.99	$38.02	$79.43