Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.89 / $2,792.00 / $7,521.00	Facility		$71.89	$2,792.00	$7,521.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.18 / $129.12 / $257.54	Professional		$58.18	$129.12	$257.54
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 $95.78 / $128.05 / $327.39	Professional		$95.78	$128.05	$327.39
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $72.59 / $72.59 / $4,050.00	Facility		$72.59	$72.59	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $72.59 / $72.59 / $218.22	Professional		$72.59	$72.59	$218.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.09 / $87.09 / $14,648.00	Facility		$87.09	$87.09	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.81 / $176.87 / $512.21	Professional		$58.81	$176.87	$512.21
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $43.00 / $74.80 / $332.00	Facility		$43.00	$74.80	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $156.22 / $201.85 / $302.08	Professional		$156.22	$201.85	$302.08
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.32 / $168.39 / $277.33	Professional		$106.32	$168.39	$277.33
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $87.09 / $87.09 / $74,999.25	Facility		$87.09	$87.09	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $70.06 / $189.38 / $493.45	Professional		$70.06	$189.38	$493.45
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 $125.06 / $175.41 / $452.86	Professional		$125.06	$175.41	$452.86
Univera Facility/Professional Facility Modifier Low / Median / High Price $65.47 / $65.47 / $182.83	Facility		$65.47	$65.47	$182.83
Univera Facility/Professional Professional Modifier Low / Median / High Price $106.02 / $168.39 / $277.33	Professional		$106.02	$168.39	$277.33