Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $3,981.07 / $9,332.54	Facility		$1,584.89	$3,981.07	$9,332.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $89.13 / $218.78	Professional		$63.10	$89.13	$218.78
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 $70.79 / $87.10 / $165.96	Professional		$70.79	$87.10	$165.96
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $4,073.80	Facility		$120.23	$120.23	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Professional		$120.23	$120.23	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $50,118.72	Facility		$154.88	$154.88	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $436.52 / $436.52	Professional		$120.23	$436.52	$436.52
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $169.82 / $389.05	Facility		$102.33	$169.82	$389.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $141.25 / $218.78	Professional		$63.10	$141.25	$218.78
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Facility		$91.20	$91.20	$91.20
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $125.89 / $223.87	Professional		$74.13	$125.89	$223.87
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 $70.79 / $114.82 / $257.04	Professional		$70.79	$114.82	$257.04
Univera Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $91.20 / $91.20	Facility		$70.79	$91.20	$91.20
Univera Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $91.20 / $199.53	Professional		$83.18	$91.20	$199.53