Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $3,630.78 / $9,120.11	Facility		$1,230.27	$3,630.78	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $229.09 / $371.54	Professional		$69.18	$229.09	$371.54
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 $263.03 / $323.59 / $707.95	Professional		$263.03	$323.59	$707.95
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $4,073.80	Facility		$114.82	$114.82	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $398.11	Professional		$114.82	$114.82	$398.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $53,703.18	Facility		$125.89	$125.89	$53,703.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $323.59 / $977.24	Professional		$95.50	$323.59	$977.24
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $83.18 / $208.93	Facility		$50.12	$83.18	$208.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $331.13 / $489.78	Professional		$251.19	$331.13	$489.78
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $309.03 / $588.84	Professional		$213.80	$309.03	$588.84
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $50,118.72 / $75,857.76	Facility		$97.72	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $389.05 / $616.60	Professional		$331.13	$389.05	$616.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,754.23 / $4,897.79	Facility		$1,318.26	$2,754.23	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $186.21 / $537.03	Professional		$57.54	$186.21	$537.03
Univera Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $58.88 / $77.62	Facility		$52.48	$58.88	$77.62
Univera Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $251.19 / $467.74	Professional		$162.18	$251.19	$467.74