Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.53 / $3,797.00 / $10,170.00	Facility		$72.53	$3,797.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.21 / $60.67 / $97.28	Professional		$52.21	$60.67	$97.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,333.00 / $4,636.00	Facility		$1,691.00	$3,333.00	$4,636.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.15 / $53.80 / $129.81	Professional		$41.15	$53.80	$129.81
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $77.72 / $77.72 / $77.72	Facility		$77.72	$77.72	$77.72
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $77.72 / $77.72 / $77.72	Professional		$77.72	$77.72	$77.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.89 / $59.89 / $14,648.00	Facility		$59.89	$59.89	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.15 / $91.86 / $204.22	Professional		$56.15	$91.86	$204.22
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $34.00 / $70.15 / $332.00	Facility		$34.00	$70.15	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $61.37 / $72.66 / $108.74	Professional		$61.37	$72.66	$108.74
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.52 / $54.89 / $92.47	Professional		$39.52	$54.89	$92.47
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $59.89 / $127.36 / $74,999.25	Facility		$59.89	$127.36	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $56.70 / $88.16 / $190.86	Professional		$56.70	$88.16	$190.86
United Facility/Professional Facility Modifier Low / Median / High Price $1,079.00 / $2,826.00 / $4,851.00	Facility		$1,079.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $50.22 / $68.98 / $155.87	Professional		$50.22	$68.98	$155.87
Univera Facility/Professional Facility Modifier Low / Median / High Price $54.89 / $54.89 / $201.38	Facility		$54.89	$54.89	$201.38
Univera Facility/Professional Professional Modifier Low / Median / High Price $39.52 / $62.37 / $119.03	Professional		$39.52	$62.37	$119.03