Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.50 / $731.93 / $3,831.00	Facility		$157.50	$731.93	$3,831.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.35 / $150.00 / $165.00	Professional		$108.35	$150.00	$165.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.04 / $150.26 / $215.87	Professional		$119.04	$150.26	$215.87
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $97.40 / $124.14 / $451.00	Facility		$97.40	$124.14	$451.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $97.40 / $124.14 / $221.54	Professional		$97.40	$124.14	$221.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.22 / $6,291.00 / $6,990.00	Facility		$127.22	$6,291.00	$6,990.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.53 / $88.53 / $88.53	Professional		$88.53	$88.53	$88.53
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $49.83 / $210.00 / $340.20	Facility		$49.83	$210.00	$340.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $105.77 / $139.86 / $190.98	Professional		$105.77	$139.86	$190.98
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.81 / $123.21 / $216.95	Professional		$68.81	$123.21	$216.95
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $127.22 / $597.00 / $6,990.00	Facility		$127.22	$597.00	$6,990.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $88.53 / $88.53 / $670.04	Professional		$88.53	$88.53	$670.04
United Facility/Professional Professional Modifier Low / Median / High Price $78.87 / $113.06 / $294.52	Professional		$78.87	$113.06	$294.52
Univera Facility/Professional Facility Modifier Low / Median / High Price $98.75 / $98.75 / $98.75	Facility		$98.75	$98.75	$98.75
Univera Facility/Professional Professional Modifier Low / Median / High Price $80.97 / $113.69 / $216.95	Professional		$80.97	$113.69	$216.95