Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.17 / $102.21 / $3,100.00	Facility		$66.17	$102.21	$3,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.64 / $120.29 / $253.62	Professional		$92.64	$120.29	$253.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,399.00 / $3,987.00 / $4,440.00	Facility		$3,399.00	$3,987.00	$4,440.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.55 / $105.36 / $221.92	Professional		$89.55	$105.36	$221.92
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $102.14 / $102.14 / $102.14	Facility		$102.14	$102.14	$102.14
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $52.04 / $102.14 / $158.00	Professional		$52.04	$102.14	$158.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.43 / $122.43 / $122.43	Facility		$122.43	$122.43	$122.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.00 / $137.90 / $377.93	Professional		$68.00	$137.90	$377.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $131.31 / $152.66 / $228.46	Professional		$131.31	$152.66	$228.46
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.62 / $152.13 / $237.67	Professional		$91.62	$152.13	$237.67
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $122.43 / $122.43 / $122.43	Facility		$122.43	$122.43	$122.43
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $82.71 / $148.10 / $333.64	Professional		$82.71	$148.10	$333.64
United Facility/Professional Facility Modifier Low / Median / High Price $448.00 / $2,834.00 / $38,441.00	Facility		$448.00	$2,834.00	$38,441.00
United Facility/Professional Professional Modifier Low / Median / High Price $93.64 / $129.06 / $269.95	Professional		$93.64	$129.06	$269.95
Univera Facility/Professional Professional Modifier Low / Median / High Price $105.28 / $151.11 / $237.67	Professional		$105.28	$151.11	$237.67