Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $97.72 / $43,651.58	Facility		$61.66	$97.72	$43,651.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $67.61 / $144.54	Professional		$53.70	$67.61	$144.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $12,882.50 / $34,673.69	Facility		$4,570.88	$12,882.50	$34,673.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $66.07 / $151.36	Professional		$50.12	$66.07	$151.36
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $1,258.93 / $4,073.80	Facility		$85.11	$1,258.93	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $7,413.10 / $23,442.29	Facility		$87.10	$7,413.10	$23,442.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $91.20 / $251.19	Professional		$58.88	$91.20	$251.19
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $58.88 / $169.82	Facility		$39.81	$58.88	$169.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $81.28 / $112.20	Professional		$57.54	$81.28	$112.20
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $63.10 / $100.00	Professional		$45.71	$63.10	$100.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $6,606.93 / $50,118.72	Facility		$47.86	$6,606.93	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $85.11 / $100.00	Professional		$66.07	$85.11	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $3,235.94 / $10,964.78	Facility		$1,258.93	$3,235.94	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $74.13 / $154.88	Professional		$53.70	$74.13	$154.88
Univera Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $74.13 / $181.97	Facility		$43.65	$74.13	$181.97
Univera Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $74.13 / $134.90	Professional		$43.65	$74.13	$134.90