Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.70 / $81.20 / $1,520.79	Facility		$68.70	$81.20	$1,520.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.70 / $86.97 / $1,520.79	Professional		$68.70	$86.97	$1,520.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,608.14 / $1,608.14 / $3,216.28	Facility		$1,608.14	$1,608.14	$3,216.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.47 / $83.47 / $332.94	Professional		$83.47	$83.47	$332.94
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,246.02 / $1,339.81 / $1,339.81	Facility		$1,246.02	$1,339.81	$1,339.81
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,339.81 / $1,339.81 / $1,339.81	Professional		$1,339.81	$1,339.81	$1,339.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $120.00 / $120.00	Facility		$120.00	$120.00	$120.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.00 / $102.00 / $125.77	Professional		$102.00	$102.00	$125.77
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,608.14 / $3,618.32	Facility		$319.00	$1,608.14	$3,618.32
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $948.80 / $1,350.84 / $2,942.90	Professional		$948.80	$1,350.84	$2,942.90
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.94 / $107.25 / $1,339.81	Professional		$100.94	$107.25	$1,339.81
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $120.00 / $597.00	Facility		$120.00	$120.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $93.70 / $102.00 / $1,608.14	Professional		$93.70	$102.00	$1,608.14
United Facility/Professional Professional Modifier Low / Median / High Price $50.42 / $85.63 / $918.39	Professional		$50.42	$85.63	$918.39
Univera Facility/Professional Facility Modifier Low / Median / High Price $100.94 / $100.94 / $100.94	Facility		$100.94	$100.94	$100.94
Univera Facility/Professional Professional Modifier Low / Median / High Price $100.94 / $100.94 / $107.25	Professional		$100.94	$100.94	$107.25