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 $36.31 / $63.10 / $93.33	Professional		$36.31	$63.10	$93.33
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 $75.86 / $93.33 / $169.82	Professional		$75.86	$93.33	$169.82
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $4,073.80	Facility		$1,348.96	$1,348.96	$4,073.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $53,703.18	Facility		$57.54	$57.54	$53,703.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $295.12 / $295.12	Professional		$19.95	$295.12	$295.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Professional		$134.90	$134.90	$134.90
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $72.44 / $100.00	Professional		$44.67	$72.44	$100.00
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 $6.61 / $13.49 / $30.20	Professional		$6.61	$13.49	$30.20
Univera Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Facility		$44.67	$44.67	$44.67
Univera Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $72.44 / $100.00	Professional		$44.67	$72.44	$100.00