Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.17 / $59.20 / $110.56	Facility		$36.17	$59.20	$110.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.17 / $57.61 / $114.10	Professional		$31.17	$57.61	$114.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $3,373.00 / $4,707.00	Facility		$1,689.00	$3,373.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.11 / $61.44 / $143.83	Professional		$48.11	$61.44	$143.83
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $46.58 / $46.58 / $4,050.00	Facility		$46.58	$46.58	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $46.58 / $46.58 / $86.21	Professional		$46.58	$46.58	$86.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.58 / $56.58 / $14,648.00	Facility		$56.58	$56.58	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.72 / $75.31 / $206.72	Professional		$35.72	$75.31	$206.72
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $52.50 / $332.00	Facility		$35.00	$52.50	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $72.13 / $101.97 / $150.21	Professional		$72.13	$101.97	$150.21
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.94 / $61.94 / $61.94	Facility		$61.94	$61.94	$61.94
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.31 / $77.31 / $136.37	Professional		$53.31	$77.31	$136.37
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $56.58 / $555.00 / $597.00	Facility		$56.58	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $40.35 / $80.84 / $197.20	Professional		$40.35	$80.84	$197.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,252.00 / $2,671.00 / $4,715.00	Facility		$1,252.00	$2,671.00	$4,715.00
United Facility/Professional Professional Modifier Low / Median / High Price $55.12 / $79.17 / $196.88	Professional		$55.12	$79.17	$196.88
Univera Facility/Professional Facility Modifier Low / Median / High Price $39.40 / $39.40 / $164.17	Facility		$39.40	$39.40	$164.17
Univera Facility/Professional Professional Modifier Low / Median / High Price $53.31 / $83.76 / $136.37	Professional		$53.31	$83.76	$136.37