Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.49 / $44.95 / $128.69	Facility		$39.49	$44.95	$128.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.49 / $52.48 / $128.69	Professional		$39.49	$52.48	$128.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.80 / $225.00 / $361.78	Professional		$92.80	$225.00	$361.78
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $76.87 / $76.87 / $76.87	Facility		$76.87	$76.87	$76.87
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $76.87 / $76.87 / $76.87	Professional		$76.87	$76.87	$76.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.97 / $68.97 / $68.97	Facility		$68.97	$68.97	$68.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.86 / $50.86 / $50.86	Professional		$50.86	$50.86	$50.86
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $8,000.00 / $8,000.00 / $13,840.00	Facility		$8,000.00	$8,000.00	$13,840.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $39,999.60 / $39,999.60 / $39,999.60	Professional		$39,999.60	$39,999.60	$39,999.60
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.54 / $86.24 / $137.59	Professional		$49.54	$86.24	$137.59
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $68.97 / $68.97 / $597.00	Facility		$68.97	$68.97	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $50.86 / $50.86 / $50.86	Professional		$50.86	$50.86	$50.86
United Facility/Professional Professional Modifier Low / Median / High Price $60.55 / $60.55 / $81.59	Professional		$60.55	$60.55	$81.59
Univera Facility/Professional Professional Modifier Low / Median / High Price $73.42 / $86.24 / $121.11	Professional		$73.42	$86.24	$121.11