Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $39.15 / $513.41	Facility		$30.00	$39.15	$513.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $32.14 / $69.29	Professional		$30.00	$32.14	$69.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,333.00 / $4,636.00	Facility		$1,691.00	$3,333.00	$4,636.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.81 / $29.56 / $64.38	Professional		$23.81	$29.56	$64.38
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $40.38 / $40.38 / $4,050.00	Facility		$40.38	$40.38	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $40.38 / $40.38 / $40.38	Professional		$40.38	$40.38	$40.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.27 / $32.27 / $3,479.91	Facility		$32.27	$32.27	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.89 / $53.73 / $103.22	Professional		$21.89	$53.73	$103.22
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $31.26 / $69.00 / $332.00	Facility		$31.26	$69.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $31.76 / $37.77 / $56.53	Professional		$31.76	$37.77	$56.53
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.99 / $32.52 / $56.75	Professional		$22.99	$32.52	$56.75
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $32.27 / $555.00 / $3,479.91	Facility		$32.27	$555.00	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $29.67 / $49.32 / $103.22	Professional		$29.67	$49.32	$103.22
United Facility/Professional Facility Modifier Low / Median / High Price $1,079.00 / $2,826.00 / $4,851.00	Facility		$1,079.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $26.84 / $36.22 / $76.56	Professional		$26.84	$36.22	$76.56
Univera Facility/Professional Facility Modifier Low / Median / High Price $30.23 / $30.23 / $102.39	Facility		$30.23	$30.23	$102.39
Univera Facility/Professional Professional Modifier Low / Median / High Price $22.99 / $36.86 / $71.89	Professional		$22.99	$36.86	$71.89