Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $3,162.28 / $10,964.78	Facility		$54.95	$3,162.28	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $42.66 / $117.49	Professional		$33.88	$42.66	$117.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,630.78 / $5,011.87	Facility		$1,819.70	$3,630.78	$5,011.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $51.29 / $109.65	Professional		$41.69	$51.29	$109.65
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Facility		$58.88	$58.88	$58.88
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Professional		$58.88	$58.88	$58.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $70.79 / $7,762.47	Facility		$34.67	$70.79	$7,762.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $85.11 / $199.53	Professional		$48.98	$85.11	$199.53
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $58.88 / $141.25	Facility		$44.67	$58.88	$141.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $54.95 / $77.62	Professional		$43.65	$54.95	$77.62
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $51.29 / $87.10	Professional		$33.88	$51.29	$87.10
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $70.79 / $398.11	Professional		$52.48	$70.79	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $4,168.69 / $9,332.54	Facility		$1,513.56	$4,168.69	$9,332.54
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $53.70 / $120.23	Professional		$37.15	$53.70	$120.23
Univera Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $44.67 / $151.36	Facility		$33.11	$44.67	$151.36
Univera Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $48.98 / $131.83	Professional		$33.11	$48.98	$131.83