Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.40 / $61.60 / $84.13	Facility		$50.40	$61.60	$84.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.40 / $53.43 / $115.10	Professional		$50.40	$53.43	$115.10
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 $39.86 / $49.52 / $107.36	Professional		$39.86	$49.52	$107.36
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $67.56 / $67.56 / $4,050.00	Facility		$67.56	$67.56	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $67.56 / $67.56 / $67.56	Professional		$67.56	$67.56	$67.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.81 / $53.81 / $3,479.91	Facility		$53.81	$53.81	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.29 / $88.37 / $167.74	Professional		$37.29	$88.37	$167.74
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $52.96 / $79.40 / $332.00	Facility		$52.96	$79.40	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $54.07 / $64.56 / $95.76	Professional		$54.07	$64.56	$95.76
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.33 / $55.09 / $94.61	Professional		$38.33	$55.09	$94.61
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $53.81 / $555.00 / $3,479.91	Facility		$53.81	$555.00	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $43.88 / $82.78 / $165.92	Professional		$43.88	$82.78	$165.92
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 $41.21 / $58.19 / $124.78	Professional		$41.21	$58.19	$124.78
Univera Facility/Professional Facility Modifier Low / Median / High Price $50.40 / $50.40 / $173.39	Facility		$50.40	$50.40	$173.39
Univera Facility/Professional Professional Modifier Low / Median / High Price $38.33 / $62.45 / $119.85	Professional		$38.33	$62.45	$119.85