Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.53 / $47.84 / $80.51	Facility		$29.53	$47.84	$80.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.12 / $51.78 / $102.63	Professional		$29.12	$51.78	$102.63
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 $50.49 / $64.55 / $121.20	Professional		$50.49	$64.55	$121.20
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $37.45 / $37.45 / $4,050.00	Facility		$37.45	$37.45	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $37.45 / $37.45 / $82.33	Professional		$37.45	$37.45	$82.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.48 / $43.48 / $14,648.00	Facility		$43.48	$43.48	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.72 / $68.34 / $161.11	Professional		$30.72	$68.34	$161.11
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $28.93 / $43.30 / $332.00	Facility		$28.93	$43.30	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $58.53 / $75.70 / $113.30	Professional		$58.53	$75.70	$113.30
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.38 / $65.90 / $105.50	Professional		$41.38	$65.90	$105.50
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $43.48 / $43.48 / $74,999.25	Facility		$43.48	$43.48	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $32.51 / $74.56 / $168.20	Professional		$32.51	$74.56	$168.20
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 $54.52 / $74.40 / $152.65	Professional		$54.52	$74.40	$152.65
Univera Facility/Professional Facility Modifier Low / Median / High Price $29.34 / $29.34 / $106.67	Facility		$29.34	$29.34	$106.67
Univera Facility/Professional Professional Modifier Low / Median / High Price $39.90 / $65.90 / $115.88	Professional		$39.90	$65.90	$115.88