Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $2,951.21 / $7,762.47	Facility		$173.78	$2,951.21	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $162.18 / $457.09	Professional		$97.72	$162.18	$457.09
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 $114.82 / $151.36 / $426.58	Professional		$114.82	$151.36	$426.58
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $4,073.80	Facility		$154.88	$154.88	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $275.42	Professional		$154.88	$154.88	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $190.55 / $53,703.18	Facility		$34.67	$190.55	$53,703.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $204.17 / $457.09	Professional		$107.15	$204.17	$457.09
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $125.89 / $398.11	Facility		$97.72	$125.89	$398.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $309.03 / $501.19	Professional		$257.04	$309.03	$501.19
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $213.80 / $371.54	Professional		$158.49	$213.80	$371.54
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $50,118.72 / $75,857.76	Facility		$117.49	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $281.84 / $398.11	Professional		$218.78	$281.84	$398.11
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 / $151.36 / $346.74	Professional		$77.62	$151.36	$346.74
Univera Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $120.23 / $398.11	Facility		$91.20	$120.23	$398.11
Univera Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $229.09 / $467.74	Professional		$141.25	$229.09	$467.74