Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $2,951.21 / $7,762.47	Facility		$199.53	$2,951.21	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $199.53 / $549.54	Professional		$114.82	$199.53	$549.54
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 $131.83 / $173.78 / $489.78	Professional		$131.83	$173.78	$489.78
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $4,073.80	Facility		$181.97	$181.97	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $309.03	Professional		$181.97	$181.97	$309.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $218.78 / $50,118.72	Facility		$34.67	$218.78	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $239.88 / $562.34	Professional		$125.89	$239.88	$562.34
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $144.54 / $446.68	Facility		$114.82	$144.54	$446.68
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $331.13 / $537.03	Professional		$275.42	$331.13	$537.03
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $234.42 / $407.38	Professional		$173.78	$234.42	$407.38
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $50,118.72 / $75,857.76	Facility		$138.04	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $323.59 / $398.11	Professional		$251.19	$323.59	$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 $91.20 / $177.83 / $398.11	Professional		$91.20	$177.83	$398.11
Univera Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $138.04 / $478.63	Facility		$104.71	$138.04	$478.63
Univera Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $257.04 / $524.81	Professional		$162.18	$257.04	$524.81