Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.01 / $282.23 / $2,255.00	Facility		$31.01	$282.23	$2,255.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.55 / $124.10 / $262.58	Professional		$22.55	$124.10	$262.58
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 $46.02 / $342.03 / $420.76	Professional		$46.02	$342.03	$420.76
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $34.54 / $34.54 / $34.54	Facility		$34.54	$34.54	$34.54
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $34.54 / $34.54 / $294.27	Professional		$34.54	$34.54	$294.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.03 / $32.03 / $3,848.75	Facility		$32.03	$32.03	$3,848.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.89 / $191.48 / $545.54	Professional		$28.89	$191.48	$545.54
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $23.13 / $34.70 / $332.00	Facility		$23.13	$34.70	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $162.71 / $215.74 / $308.70	Professional		$162.71	$215.74	$308.70
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $139.72 / $139.72 / $139.72	Facility		$139.72	$139.72	$139.72
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.54 / $197.00 / $371.33	Professional		$154.54	$197.00	$371.33
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $32.03 / $32.03 / $3,848.75	Facility		$32.03	$32.03	$3,848.75
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $34.95 / $241.48 / $523.02	Professional		$34.95	$241.48	$523.02
United Facility/Professional Professional Modifier Low / Median / High Price $167.98 / $236.64 / $502.03	Professional		$167.98	$236.64	$502.03
Univera Facility/Professional Facility Modifier Low / Median / High Price $139.72 / $176.62 / $176.62	Facility		$139.72	$176.62	$176.62
Univera Facility/Professional Professional Modifier Low / Median / High Price $154.54 / $176.62 / $371.33	Professional		$154.54	$176.62	$371.33