Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $131.83 / $131.83	Facility		$100.00	$131.83	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $131.83 / $275.42	Professional		$107.15	$131.83	$275.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,630.78 / $5,011.87	Facility		$1,819.70	$3,630.78	$5,011.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $144.54 / $257.04	Professional		$117.49	$144.54	$257.04
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $4,073.80	Facility		$1,348.96	$1,348.96	$4,073.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50,118.72 / $50,118.72 / $53,703.18	Facility		$50,118.72	$50,118.72	$53,703.18
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $257.04	Facility		$151.36	$151.36	$257.04
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $257.04 / $257.04	Professional		$100.00	$257.04	$257.04
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
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $54.95 / $208.93	Professional		$25.12	$54.95	$208.93
Univera Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $134.90 / $134.90	Facility		$102.33	$134.90	$134.90
Univera Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $134.90 / $257.04	Professional		$100.00	$134.90	$257.04