Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $242.01 / $348.56 / $41,844.00	Facility		$242.01	$348.56	$41,844.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.00 / $242.01 / $377.75	Professional		$177.00	$242.01	$377.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,868.00 / $42,770.00 / $112,103.00	Facility		$9,868.00	$42,770.00	$112,103.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.12 / $201.76 / $526.01	Professional		$159.12	$201.76	$526.01
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $74.38 / $74.38 / $205.88	Facility		$74.38	$74.38	$205.88
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $74.38 / $205.88 / $280.26	Professional		$74.38	$205.88	$280.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.42 / $20,885.00 / $31,859.00	Facility		$214.42	$20,885.00	$31,859.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.44 / $370.84 / $810.33	Professional		$192.44	$370.84	$810.33
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $42.11 / $75.36 / $610.00	Facility		$42.11	$75.36	$610.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $208.49 / $276.10 / $402.39	Professional		$208.49	$276.10	$402.39
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $94.68 / $94.68 / $94.68	Facility		$94.68	$94.68	$94.68
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.68 / $260.67 / $357.32	Professional		$94.68	$260.67	$357.32
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $214.42 / $25,163.00 / $74,999.25	Facility		$214.42	$25,163.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $204.89 / $338.95 / $672.42	Professional		$204.89	$338.95	$672.42
United Facility/Professional Facility Modifier Low / Median / High Price $835.00 / $2,884.00 / $7,372.00	Facility		$835.00	$2,884.00	$7,372.00
United Facility/Professional Professional Modifier Low / Median / High Price $177.92 / $247.36 / $514.71	Professional		$177.92	$247.36	$514.71
Univera Facility/Professional Facility Modifier Low / Median / High Price $351.79 / $351.79 / $805.57	Facility		$351.79	$351.79	$805.57
Univera Facility/Professional Professional Modifier Low / Median / High Price $174.16 / $291.81 / $489.45	Professional		$174.16	$291.81	$489.45