Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.76 / $3,797.00 / $10,170.00	Facility		$34.76	$3,797.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.55 / $29.98 / $48.96	Professional		$23.55	$29.98	$48.96
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 $23.35 / $29.00 / $61.76	Professional		$23.35	$29.00	$61.76
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $36.64 / $36.64 / $36.64	Facility		$36.64	$36.64	$36.64
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $36.64 / $36.64 / $36.64	Professional		$36.64	$36.64	$36.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.68 / $28.68 / $14,648.00	Facility		$28.68	$28.68	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.56 / $43.55 / $89.50	Professional		$27.56	$43.55	$89.50
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $17.00 / $32.68 / $332.00	Facility		$17.00	$32.68	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $27.24 / $33.84 / $50.65	Professional		$27.24	$33.84	$50.65
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.55 / $27.30 / $46.00	Professional		$19.55	$27.30	$46.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $28.68 / $127.36 / $74,999.25	Facility		$28.68	$127.36	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $28.09 / $44.65 / $89.31	Professional		$28.09	$44.65	$89.31
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 $23.14 / $31.81 / $80.84	Professional		$23.14	$31.81	$80.84
Univera Facility/Professional Facility Modifier Low / Median / High Price $27.30 / $27.30 / $99.07	Facility		$27.30	$27.30	$99.07
Univera Facility/Professional Professional Modifier Low / Median / High Price $19.55 / $31.03 / $59.21	Professional		$19.55	$31.03	$59.21