Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.63 / $3,347.00 / $7,735.00	Facility		$93.63	$3,347.00	$7,735.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.25 / $88.48 / $143.15	Professional		$52.25	$88.48	$143.15
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 $55.99 / $73.19 / $168.41	Professional		$55.99	$73.19	$168.41
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $95.28 / $95.28 / $4,050.00	Facility		$95.28	$95.28	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $95.28 / $95.28 / $95.28	Professional		$95.28	$95.28	$95.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.56 / $77.56 / $7,227.90	Facility		$77.56	$77.56	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.44 / $126.83 / $291.83	Professional		$65.44	$126.83	$291.83
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $84.06 / $332.00	Facility		$35.00	$84.06	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $79.25 / $93.76 / $140.31	Professional		$79.25	$93.76	$140.31
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.16 / $75.34 / $124.11	Professional		$53.16	$75.34	$124.11
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $77.56 / $555.00 / $7,227.90	Facility		$77.56	$555.00	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $71.75 / $124.89 / $291.83	Professional		$71.75	$124.89	$291.83
United Facility/Professional Facility Modifier Low / Median / High Price $2,031.00 / $4,840.00 / $9,202.00	Facility		$2,031.00	$4,840.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $59.81 / $89.09 / $209.05	Professional		$59.81	$89.09	$209.05
Univera Facility/Professional Facility Modifier Low / Median / High Price $88.65 / $88.65 / $234.07	Facility		$88.65	$88.65	$234.07
Univera Facility/Professional Professional Modifier Low / Median / High Price $53.16 / $85.36 / $144.80	Professional		$53.16	$85.36	$144.80