Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $6,918.31 / $25,703.96	Facility		$2,238.72	$6,918.31	$25,703.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $87.10 / $112.20	Professional		$70.79	$87.10	$112.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $7,079.46 / $100,000.00	Facility		$2,630.27	$7,079.46	$100,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $83.18 / $158.49	Professional		$66.07	$83.18	$158.49
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $83.18 / $28,183.83	Facility		$26.92	$83.18	$28,183.83
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $83.18 / $112.20	Professional		$26.92	$83.18	$112.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $21,877.62 / $50,118.72	Facility		$123.03	$21,877.62	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $134.90 / $380.19	Professional		$77.62	$134.90	$380.19
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $27.54 / $109.65	Facility		$17.38	$27.54	$109.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $120.23 / $165.96	Professional		$81.28	$120.23	$165.96
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $93.33 / $147.91	Professional		$57.54	$93.33	$147.91
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $50,118.72 / $75,857.76	Facility		$22.39	$50,118.72	$75,857.76
United Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $4,897.79 / $22,908.68	Facility		$2,089.30	$4,897.79	$22,908.68
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $97.72 / $199.53	Professional		$72.44	$97.72	$199.53
Univera Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $144.54 / $281.84	Facility		$64.57	$144.54	$281.84
Univera Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $112.20 / $426.58	Professional		$61.66	$112.20	$426.58