Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.19 / $70.42 / $184.95	Facility		$39.19	$70.42	$184.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.62 / $40.26 / $67.65	Professional		$30.62	$40.26	$67.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,382.00 / $4,707.00	Facility		$1,691.00	$3,382.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.00 / $40.53 / $95.09	Professional		$31.00	$40.53	$95.09
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $57.02 / $57.02 / $57.02	Facility		$57.02	$57.02	$57.02
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $57.02 / $57.02 / $57.02	Professional		$57.02	$57.02	$57.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.33 / $741.34 / $973.51	Facility		$133.33	$741.34	$973.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.19 / $60.29 / $148.00	Professional		$34.19	$60.29	$148.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $33.43 / $61.03 / $332.00	Facility		$33.43	$61.03	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $39.70 / $53.64 / $81.38	Professional		$39.70	$53.64	$81.38
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.65 / $51.79 / $72.86	Professional		$36.65	$51.79	$72.86
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $133.33 / $741.34 / $1,104.68	Facility		$133.33	$741.34	$1,104.68
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $36.97 / $59.66 / $143.60	Professional		$36.97	$59.66	$143.60
United Facility/Professional Professional Modifier Low / Median / High Price $35.35 / $47.14 / $98.11	Professional		$35.35	$47.14	$98.11
Univera Facility/Professional Facility Modifier Low / Median / High Price $41.91 / $41.91 / $137.47	Facility		$41.91	$41.91	$137.47
Univera Facility/Professional Professional Modifier Low / Median / High Price $36.99 / $58.76 / $113.39	Professional		$36.99	$58.76	$113.39