Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.84 / $2,902.00 / $7,839.00	Facility		$69.84	$2,902.00	$7,839.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.43 / $66.73 / $103.06	Professional		$50.43	$66.73	$103.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,366.00 / $4,707.00	Facility		$1,691.00	$3,366.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.11 / $60.13 / $140.56	Professional		$48.11	$60.13	$140.56
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $75.20 / $75.20 / $4,050.00	Facility		$75.20	$75.20	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $75.20 / $75.20 / $86.18	Professional		$75.20	$75.20	$86.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.37 / $86.37 / $14,648.00	Facility		$86.37	$86.37	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.92 / $85.03 / $192.47	Professional		$46.92	$85.03	$192.47
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $48.00 / $79.48 / $332.00	Facility		$48.00	$79.48	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $58.54 / $79.34 / $119.02	Professional		$58.54	$79.34	$119.02
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.81 / $72.09 / $117.60	Professional		$36.81	$72.09	$117.60
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $86.37 / $86.37 / $597.00	Facility		$86.37	$86.37	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $48.35 / $85.31 / $198.92	Professional		$48.35	$85.31	$198.92
United Facility/Professional Facility Modifier Low / Median / High Price $1,079.00 / $2,884.00 / $4,840.00	Facility		$1,079.00	$2,884.00	$4,840.00
United Facility/Professional Professional Modifier Low / Median / High Price $53.33 / $76.31 / $240.46	Professional		$53.33	$76.31	$240.46
Univera Facility/Professional Facility Modifier Low / Median / High Price $69.89 / $69.89 / $195.81	Facility		$69.89	$69.89	$195.81
Univera Facility/Professional Professional Modifier Low / Median / High Price $36.81 / $81.01 / $156.19	Professional		$36.81	$81.01	$156.19