Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $2,951.21 / $9,772.37	Facility		$138.04	$2,951.21	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $125.89 / $316.23	Professional		$83.18	$125.89	$316.23
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 $87.10 / $114.82 / $316.23	Professional		$87.10	$114.82	$316.23
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $4,073.80	Facility		$144.54	$144.54	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $199.53	Professional		$144.54	$144.54	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $173.78 / $53,703.18	Facility		$34.67	$173.78	$53,703.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $158.49 / $354.81	Professional		$91.20	$158.49	$354.81
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $109.65 / $338.84	Facility		$81.28	$109.65	$338.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $218.78 / $363.08	Professional		$186.21	$218.78	$363.08
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $154.88 / $269.15	Professional		$114.82	$154.88	$269.15
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $50,118.72 / $75,857.76	Facility		$100.00	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $218.78 / $398.11	Professional		$169.82	$218.78	$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 $70.79 / $128.82 / $275.42	Professional		$70.79	$128.82	$275.42
Univera Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $109.65 / $346.74	Facility		$81.28	$109.65	$346.74
Univera Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $169.82 / $338.84	Professional		$112.20	$169.82	$338.84