Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.51 / $115.00 / $3,942.31	Facility		$80.51	$115.00	$3,942.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.56 / $95.23 / $207.64	Professional		$81.56	$95.23	$207.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,120.00 / $8,836.00	Facility		$2,393.00	$4,120.00	$8,836.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.14 / $86.47 / $196.27	Professional		$66.14	$86.47	$196.27
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $120.29 / $120.29 / $6,213.00	Facility		$120.29	$120.29	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $120.29 / $120.29 / $120.29	Professional		$120.29	$120.29	$120.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.77 / $109.77 / $109.77	Professional		$109.77	$109.77	$109.77
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $76.00 / $124.74 / $332.00	Facility		$76.00	$124.74	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $93.15 / $111.17 / $166.37	Professional		$93.15	$111.17	$166.37
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.06 / $95.72 / $165.53	Professional		$67.06	$95.72	$165.53
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $74,999.25	Facility		$555.00	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $91.57 / $121.03 / $266.13	Professional		$91.57	$121.03	$266.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,768.00 / $4,176.00 / $8,312.00	Facility		$1,768.00	$4,176.00	$8,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $74.55 / $106.48 / $226.05	Professional		$74.55	$106.48	$226.05
Univera Facility/Professional Facility Modifier Low / Median / High Price $88.18 / $88.18 / $291.79	Facility		$88.18	$88.18	$291.79
Univera Facility/Professional Professional Modifier Low / Median / High Price $67.06 / $108.49 / $209.68	Professional		$67.06	$108.49	$209.68