Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.63 / $4,392.00 / $10,296.00	Facility		$46.63	$4,392.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.11 / $44.12 / $73.43	Professional		$34.11	$44.12	$73.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,366.00 / $4,707.00	Facility		$1,691.00	$3,366.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.27 / $38.38 / $95.36	Professional		$30.27	$38.38	$95.36
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $54.00 / $54.00 / $4,050.00	Facility		$54.00	$54.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $54.00 / $54.00	Professional		$54.00	$54.00	$54.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.55 / $43.55 / $14,648.00	Facility		$43.55	$43.55	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.70 / $59.51 / $157.94	Professional		$36.70	$59.51	$157.94
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $40.27 / $65.64 / $332.00	Facility		$40.27	$65.64	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $39.11 / $53.01 / $79.51	Professional		$39.11	$53.01	$79.51
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.28 / $47.86 / $77.61	Professional		$30.28	$47.86	$77.61
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $43.55 / $43.55 / $597.00	Facility		$43.55	$43.55	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $39.40 / $59.16 / $148.04	Professional		$39.40	$59.16	$148.04
United Facility/Professional Facility Modifier Low / Median / High Price $1,079.00 / $2,884.00 / $4,840.00	Facility		$1,079.00	$2,884.00	$4,840.00
United Facility/Professional Professional Modifier Low / Median / High Price $33.86 / $48.58 / $199.87	Professional		$33.86	$48.58	$199.87
Univera Facility/Professional Facility Modifier Low / Median / High Price $49.73 / $49.73 / $131.97	Facility		$49.73	$49.73	$131.97
Univera Facility/Professional Professional Modifier Low / Median / High Price $30.28 / $56.31 / $97.89	Professional		$30.28	$56.31	$97.89