Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.72 / $3,316.00 / $9,661.00	Facility		$84.72	$3,316.00	$9,661.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.17 / $84.72 / $169.88	Professional		$64.17	$84.72	$169.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $3,373.00 / $4,707.00	Facility		$1,689.00	$3,373.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.36 / $77.81 / $178.60	Professional		$61.36	$77.81	$178.60
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $87.20 / $87.20 / $4,050.00	Facility		$87.20	$87.20	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $87.20 / $87.20 / $105.83	Professional		$87.20	$87.20	$105.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.80 / $109.59 / $14,648.00	Facility		$45.80	$109.59	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.40 / $90.89 / $210.54	Professional		$57.40	$90.89	$210.54
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $43.00 / $84.69 / $332.00	Facility		$43.00	$84.69	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $84.48 / $103.70 / $161.04	Professional		$84.48	$103.70	$161.04
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.81 / $74.06 / $142.79	Professional		$45.81	$74.06	$142.79
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $45.80 / $555.00 / $74,999.25	Facility		$45.80	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $61.72 / $93.94 / $212.88	Professional		$61.72	$93.94	$212.88
United Facility/Professional Facility Modifier Low / Median / High Price $767.00 / $2,744.00 / $4,840.00	Facility		$767.00	$2,744.00	$4,840.00
United Facility/Professional Professional Modifier Low / Median / High Price $59.65 / $80.95 / $173.40	Professional		$59.65	$80.95	$173.40
Univera Facility/Professional Facility Modifier Low / Median / High Price $87.56 / $87.56 / $210.94	Facility		$87.56	$87.56	$210.94
Univera Facility/Professional Professional Modifier Low / Median / High Price $45.81 / $87.56 / $187.42	Professional		$45.81	$87.56	$187.42