Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $3,019.95 / $7,762.47	Facility		$199.53	$3,019.95	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $162.18 / $426.58	Professional		$123.03	$162.18	$426.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82
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 / $162.18 / $389.05	Professional		$123.03	$162.18	$389.05
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $1,258.93 / $4,073.80	Facility		$194.98	$1,258.93	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $245.47	Professional		$194.98	$194.98	$245.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $1,318.26 / $50,118.72	Facility		$234.42	$1,318.26	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $218.78 / $489.78	Professional		$125.89	$218.78	$489.78
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $165.96 / $467.74	Facility		$114.82	$165.96	$467.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $263.03 / $426.58	Professional		$223.87	$263.03	$426.58
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $204.17 / $331.13	Professional		$138.04	$204.17	$331.13
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $50,118.72 / $75,857.76	Facility		$3,235.94	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $263.03 / $398.11	Professional		$204.17	$263.03	$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 $93.33 / $165.96 / $354.81	Professional		$93.33	$165.96	$354.81
Univera Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $151.36 / $478.63	Facility		$107.15	$151.36	$478.63
Univera Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $223.87 / $416.87	Professional		$123.03	$223.87	$416.87