Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.18 / $230.97 / $2,255.00	Facility		$54.18	$230.97	$2,255.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.63 / $110.09 / $199.70	Professional		$44.63	$110.09	$199.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $790.00 / $1,751.00 / $4,671.00	Facility		$790.00	$1,751.00	$4,671.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.50 / $198.78 / $278.76	Professional		$98.50	$198.78	$278.76
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $63.36 / $63.36 / $63.36	Facility		$63.36	$63.36	$63.36
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $63.36 / $63.36 / $187.50	Professional		$63.36	$63.36	$187.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.19 / $71.19 / $1,556.01	Facility		$71.19	$71.19	$1,556.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.85 / $141.69 / $338.33	Professional		$49.85	$141.69	$338.33
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $54.03 / $115.00 / $466.90	Facility		$54.03	$115.00	$466.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $129.38 / $175.39 / $253.71	Professional		$129.38	$175.39	$253.71
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.15 / $15.15 / $15.15	Facility		$15.15	$15.15	$15.15
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.67 / $164.64 / $303.87	Professional		$105.67	$164.64	$303.87
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $71.19 / $71.19 / $1,556.01	Facility		$71.19	$71.19	$1,556.01
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $54.13 / $155.88 / $323.08	Professional		$54.13	$155.88	$323.08
United Facility/Professional Facility Modifier Low / Median / High Price $408.76 / $451.29 / $635.59	Facility		$408.76	$451.29	$635.59
United Facility/Professional Professional Modifier Low / Median / High Price $110.74 / $153.21 / $316.88	Professional		$110.74	$153.21	$316.88
Univera Facility/Professional Facility Modifier Low / Median / High Price $130.84 / $146.34 / $146.34	Facility		$130.84	$146.34	$146.34
Univera Facility/Professional Professional Modifier Low / Median / High Price $114.73 / $146.34 / $303.87	Professional		$114.73	$146.34	$303.87