Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $3,981.07 / $9,120.11	Facility		$1,548.82	$3,981.07	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $44.67 / $67.61	Professional		$7.94	$44.67	$67.61
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 $14.79 / $18.20 / $43.65	Professional		$14.79	$18.20	$43.65
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $26.30 / $26.30	Facility		$26.30	$26.30	$26.30
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $26.30	Professional		$26.30	$26.30	$26.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $53,703.18	Facility		$138.04	$138.04	$53,703.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Professional		$416.87	$416.87	$416.87
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $51.29 / $66.07	Facility		$36.31	$51.29	$66.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $35.48 / $58.88	Professional		$21.88	$35.48	$58.88
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $114.82 / $181.97	Professional		$70.79	$114.82	$181.97
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 Facility Modifier Low / Median / High Price $870.96 / $2,754.23 / $4,897.79	Facility		$870.96	$2,754.23	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $24.55 / $83.18	Professional		$16.22	$24.55	$83.18
Univera Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $70.79 / $70.79	Facility		$15.85	$70.79	$70.79
Univera Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $70.79 / $169.82	Professional		$18.62	$70.79	$169.82