Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $3,801.89 / $9,120.11	Facility		$263.03	$3,801.89	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $151.36 / $512.86	Professional		$128.82	$151.36	$512.86
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 $123.03 / $158.49 / $416.87	Professional		$123.03	$158.49	$416.87
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $1,698.24 / $6,165.95	Facility		$213.80	$1,698.24	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Professional		$213.80	$213.80	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $1,659.59 / $50,118.72	Facility		$263.03	$1,659.59	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $223.87 / $562.34	Professional		$125.89	$223.87	$562.34
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $245.47 / $602.56	Facility		$186.21	$245.47	$602.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $218.78 / $363.08	Professional		$181.97	$218.78	$363.08
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $186.21 / $281.84	Professional		$123.03	$186.21	$281.84
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $50,118.72 / $75,857.76	Facility		$269.15	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $245.47 / $398.11	Professional		$181.97	$245.47	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $2,754.23 / $4,897.79	Facility		$954.99	$2,754.23	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $181.97 / $371.54	Professional		$95.50	$181.97	$371.54
Univera Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $162.18 / $977.24	Facility		$123.03	$162.18	$977.24
Univera Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $199.53 / $794.33	Professional		$123.03	$199.53	$794.33