Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.94 / $65.75 / $102.93	Facility		$47.94	$65.75	$102.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.79 / $64.79 / $112.18	Professional		$43.79	$64.79	$112.18
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 $48.39 / $61.13 / $142.30	Professional		$48.39	$61.13	$142.30
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $61.96 / $61.96 / $4,050.00	Facility		$61.96	$61.96	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $61.96 / $61.96 / $88.22	Professional		$61.96	$61.96	$88.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.72 / $75.72 / $14,648.00	Facility		$75.72	$75.72	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.60 / $83.53 / $208.06	Professional		$47.60	$83.53	$208.06
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $69.00 / $332.00	Facility		$45.00	$69.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $71.15 / $100.29 / $147.78	Professional		$71.15	$100.29	$147.78
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.10 / $61.10 / $61.10	Facility		$61.10	$61.10	$61.10
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.45 / $78.59 / $138.66	Professional		$53.45	$78.59	$138.66
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $75.72 / $555.00 / $597.00	Facility		$75.72	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $47.79 / $87.85 / $208.06	Professional		$47.79	$87.85	$208.06
United Facility/Professional Facility Modifier Low / Median / High Price $457.36 / $2,705.00 / $4,840.00	Facility		$457.36	$2,705.00	$4,840.00
United Facility/Professional Professional Modifier Low / Median / High Price $55.25 / $78.34 / $190.51	Professional		$55.25	$78.34	$190.51
Univera Facility/Professional Facility Modifier Low / Median / High Price $53.33 / $53.33 / $137.36	Facility		$53.33	$53.33	$137.36
Univera Facility/Professional Professional Modifier Low / Median / High Price $54.67 / $85.16 / $138.66	Professional		$54.67	$85.16	$138.66