Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $5,370.32 / $10,964.78	Facility		$1,819.70	$5,370.32	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $95.50 / $112.20	Professional		$34.67	$95.50	$112.20
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 $74.13 / $93.33 / $194.98	Professional		$74.13	$93.33	$194.98
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $4,073.80	Facility		$131.83	$131.83	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $50,118.72	Facility		$173.78	$173.78	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $489.78 / $489.78	Professional		$128.82	$489.78	$489.78
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $181.97 / $416.87	Facility		$109.65	$181.97	$416.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $147.91 / $234.42	Professional		$69.18	$147.91	$234.42
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Facility		$97.72	$97.72	$97.72
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $138.04 / $239.88	Professional		$83.18	$138.04	$239.88
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 $1,258.93 / $2,754.23 / $4,897.79	Facility		$1,258.93	$2,754.23	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $123.03 / $281.84	Professional		$77.62	$123.03	$281.84
Univera Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $97.72 / $97.72	Facility		$77.62	$97.72	$97.72
Univera Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $97.72 / $213.80	Professional		$91.20	$97.72	$213.80