Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.73 / $106.70 / $168.05	Facility		$79.73	$106.70	$168.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.14 / $99.73 / $187.93	Professional		$69.14	$99.73	$187.93
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 $82.87 / $104.69 / $228.25	Professional		$82.87	$104.69	$228.25
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $108.68 / $108.68 / $4,050.00	Facility		$108.68	$108.68	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $108.68 / $108.68 / $149.74	Professional		$108.68	$108.68	$149.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.86 / $130.86 / $14,648.00	Facility		$130.86	$130.86	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.00 / $137.69 / $356.41	Professional		$81.00	$137.69	$356.41
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $78.00 / $118.50 / $332.00	Facility		$78.00	$118.50	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $118.34 / $167.82 / $247.70	Professional		$118.34	$167.82	$247.70
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.62 / $101.62 / $101.62	Facility		$101.62	$101.62	$101.62
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.66 / $128.75 / $227.12	Professional		$83.66	$128.75	$227.12
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $130.86 / $555.00 / $597.00	Facility		$130.86	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $83.01 / $144.91 / $346.84	Professional		$83.01	$144.91	$346.84
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 $94.23 / $136.11 / $345.70	Professional		$94.23	$136.11	$345.70
Univera Facility/Professional Facility Modifier Low / Median / High Price $91.24 / $91.24 / $360.44	Facility		$91.24	$91.24	$360.44
Univera Facility/Professional Professional Modifier Low / Median / High Price $87.55 / $141.62 / $227.12	Professional		$87.55	$141.62	$227.12