Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $30.15 / $2,478.73	Facility		$22.91	$30.15	$2,478.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $41.66 / $56.79	Professional		$22.91	$41.66	$56.79
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 $39.61 / $49.19 / $91.55	Professional		$39.61	$49.19	$91.55
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,350.00 / $1,350.00 / $4,050.00	Facility		$1,350.00	$1,350.00	$4,050.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.35 / $58.81 / $58.81	Professional		$35.35	$58.81	$58.81
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $74,999.25	Facility		$555.00	$597.00	$74,999.25
United Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $8.00 / $20.00	Professional		$8.00	$8.00	$20.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $58.51 / $58.51 / $58.51	Facility		$58.51	$58.51	$58.51
Univera Facility/Professional Professional Modifier Low / Median / High Price $58.51 / $58.81 / $58.81	Professional		$58.51	$58.81	$58.81