Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.05 / $2,890.00 / $7,307.00	Facility		$54.05	$2,890.00	$7,307.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.01 / $69.84 / $124.22	Professional		$44.01	$69.84	$124.22
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 $48.78 / $63.77 / $154.83	Professional		$48.78	$63.77	$154.83
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $54.21 / $54.21 / $4,050.00	Facility		$54.21	$54.21	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $54.21 / $54.21 / $104.82	Professional		$54.21	$54.21	$104.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.48 / $66.48 / $14,648.00	Facility		$66.48	$66.48	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.81 / $91.87 / $261.14	Professional		$44.81	$91.87	$261.14
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $32.00 / $57.09 / $332.00	Facility		$32.00	$57.09	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $98.77 / $147.82	Professional		$75.86	$98.77	$147.82
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $88.55 / $133.68	Professional		$51.29	$88.55	$133.68
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $66.48 / $66.48 / $74,999.25	Facility		$66.48	$66.48	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $53.07 / $95.01 / $244.95	Professional		$53.07	$95.01	$244.95
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 $60.70 / $84.30 / $213.72	Professional		$60.70	$84.30	$213.72
Univera Facility/Professional Facility Modifier Low / Median / High Price $50.28 / $50.28 / $136.72	Facility		$50.28	$50.28	$136.72
Univera Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $95.49 / $148.38	Professional		$51.29	$95.49	$148.38