Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.77 / $96.13 / $658.44	Facility		$56.77	$96.13	$658.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.77 / $107.62 / $118.39	Professional		$56.77	$107.62	$118.39
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 $98.20 / $122.46 / $228.88	Professional		$98.20	$122.46	$228.88
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 $58.58 / $132.37 / $132.37	Professional		$58.58	$132.37	$132.37
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 $30.00 / $40.00 / $175.00	Professional		$30.00	$40.00	$175.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $116.45 / $116.45 / $116.45	Facility		$116.45	$116.45	$116.45
Univera Facility/Professional Professional Modifier Low / Median / High Price $116.45 / $132.37 / $132.37	Professional		$116.45	$132.37	$132.37