Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $346.74 / $6,456.54	Facility		$4.79	$346.74	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $8.91 / $20.89	Professional		$6.03	$8.91	$20.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $21.88	Facility		$20.89	$20.89	$21.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $363.08 / $446.68	Professional		$309.03	$363.08	$446.68
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $12.30 / $12.30	Facility		$12.30	$12.30	$12.30
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $12.30 / $12.30	Professional		$12.30	$12.30	$12.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $17.78 / $17.78	Facility		$8.13	$17.78	$17.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $9.77 / $9.77	Professional		$9.77	$9.77	$9.77
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $44,668.36 / $44,668.36 / $44,668.36	Facility		$44,668.36	$44,668.36	$44,668.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $38,018.94 / $38,018.94 / $38,018.94	Professional		$38,018.94	$38,018.94	$38,018.94
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Professional		$25.12	$25.12	$25.12
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $50,118.72 / $53,703.18 / $75,857.76	Facility		$50,118.72	$53,703.18	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
United Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Facility		$20.89	$20.89	$20.89
United Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $7.94 / $13.49	Professional		$5.75	$7.94	$13.49
Univera Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $1,513.56	Facility		$25.12	$25.12	$1,513.56
Univera Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Professional		$25.12	$25.12	$25.12