Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.79 / $2,836.00 / $9,038.00	Facility		$50.79	$2,836.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.58 / $76.77 / $134.07	Professional		$43.58	$76.77	$134.07
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 $50.97 / $66.63 / $174.16	Professional		$50.97	$66.63	$174.16
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $56.57 / $56.57 / $4,050.00	Facility		$56.57	$56.57	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $56.57 / $56.57 / $104.79	Professional		$56.57	$56.57	$104.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.08 / $68.08 / $14,648.00	Facility		$68.08	$68.08	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.83 / $97.85 / $265.55	Professional		$46.83	$97.85	$265.55
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $58.85 / $332.00	Facility		$35.00	$58.85	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $77.08 / $100.62 / $150.58	Professional		$77.08	$100.62	$150.58
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.90 / $90.20 / $135.41	Professional		$60.90	$90.20	$135.41
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $68.08 / $68.08 / $74,999.25	Facility		$68.08	$68.08	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $49.64 / $104.04 / $264.83	Professional		$49.64	$104.04	$264.83
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 $61.70 / $87.92 / $275.83	Professional		$61.70	$87.92	$275.83
Univera Facility/Professional Facility Modifier Low / Median / High Price $51.95 / $51.95 / $140.22	Facility		$51.95	$51.95	$140.22
Univera Facility/Professional Professional Modifier Low / Median / High Price $60.90 / $96.73 / $150.31	Professional		$60.90	$96.73	$150.31