Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $3,548.13 / $9,120.11	Facility		$194.98	$3,548.13	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $169.82 / $436.52	Professional		$123.03	$169.82	$436.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,786.30 / $10,232.93	Facility		$2,630.27	$4,786.30	$10,232.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $190.55 / $426.58	Professional		$151.36	$190.55	$426.58
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $1,995.26 / $8,912.51	Facility		$194.98	$1,995.26	$8,912.51
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $263.03	Professional		$194.98	$194.98	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $1,862.09 / $50,118.72	Facility		$234.42	$1,862.09	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $229.09 / $489.78	Professional		$128.82	$229.09	$489.78
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $177.83 / $436.52	Facility		$123.03	$177.83	$436.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $263.03 / $436.52	Professional		$223.87	$263.03	$436.52
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $199.53 / $338.84	Professional		$147.91	$199.53	$338.84
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $50,118.72 / $75,857.76	Facility		$144.54	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $288.40 / $398.11	Professional		$223.87	$288.40	$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 $93.33 / $169.82 / $363.08	Professional		$93.33	$169.82	$363.08
Univera Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $144.54 / $512.86	Facility		$109.65	$144.54	$512.86
Univera Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $213.80 / $426.58	Professional		$144.54	$213.80	$426.58