Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.56 / $87.73 / $126.24	Facility		$74.56	$87.73	$126.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.06 / $82.52 / $134.84	Professional		$67.06	$82.52	$134.84
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 $55.67 / $72.78 / $174.86	Professional		$55.67	$72.78	$174.86
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $47.17 / $50.95 / $442.00	Facility		$47.17	$50.95	$442.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $47.17 / $50.95 / $98.11	Professional		$47.17	$50.95	$98.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.16 / $80.16 / $14,648.00	Facility		$80.16	$80.16	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.41 / $135.50 / $258.45	Professional		$83.41	$135.50	$258.45
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $37.26 / $58.29 / $332.00	Facility		$37.26	$58.29	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $83.46 / $94.55 / $145.22	Professional		$83.46	$94.55	$145.22
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.20 / $20.20 / $20.20	Facility		$20.20	$20.20	$20.20
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.40 / $65.20 / $131.94	Professional		$52.40	$65.20	$131.94
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $80.16 / $80.16 / $74,999.25	Facility		$80.16	$80.16	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $83.41 / $127.34 / $252.77	Professional		$83.41	$127.34	$252.77
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 $61.35 / $91.26 / $214.24	Professional		$61.35	$91.26	$214.24
Univera Facility/Professional Facility Modifier Low / Median / High Price $76.80 / $76.80 / $209.34	Facility		$76.80	$76.80	$209.34
Univera Facility/Professional Professional Modifier Low / Median / High Price $52.40 / $76.80 / $149.21	Professional		$52.40	$76.80	$149.21