Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.48 / $2,974.00 / $7,307.00	Facility		$58.48	$2,974.00	$7,307.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.81 / $79.20 / $135.22	Professional		$44.81	$79.20	$135.22
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 $51.91 / $67.86 / $177.24	Professional		$51.91	$67.86	$177.24
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $58.46 / $58.46 / $4,050.00	Facility		$58.46	$58.46	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $58.46 / $58.46 / $106.20	Professional		$58.46	$58.46	$106.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.09 / $70.09 / $14,648.00	Facility		$70.09	$70.09	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.47 / $99.58 / $269.39	Professional		$48.47	$99.58	$269.39
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $60.55 / $332.00	Facility		$35.00	$60.55	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $78.17 / $101.92 / $152.53	Professional		$78.17	$101.92	$152.53
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.87 / $83.65 / $137.77	Professional		$61.87	$83.65	$137.77
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $70.09 / $70.09 / $74,999.25	Facility		$70.09	$70.09	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $52.15 / $105.70 / $269.39	Professional		$52.15	$105.70	$269.39
United Facility/Professional Facility Modifier Low / Median / High Price $1,283.00 / $2,597.00 / $4,583.00	Facility		$1,283.00	$2,597.00	$4,583.00
United Facility/Professional Professional Modifier Low / Median / High Price $61.09 / $86.85 / $218.21	Professional		$61.09	$86.85	$218.21
Univera Facility/Professional Facility Modifier Low / Median / High Price $53.63 / $53.63 / $143.74	Facility		$53.63	$53.63	$143.74
Univera Facility/Professional Professional Modifier Low / Median / High Price $53.63 / $91.91 / $152.91	Professional		$53.63	$91.91	$152.91