Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $2,951.21 / $7,762.47	Facility		$123.03	$2,951.21	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $91.20 / $257.04	Professional		$77.62	$91.20	$257.04
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 $81.28 / $102.33 / $223.87	Professional		$81.28	$102.33	$223.87
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $1,258.93 / $4,073.80	Facility		$125.89	$1,258.93	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $138.04	Professional		$125.89	$125.89	$138.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $53,703.18	Facility		$151.36	$151.36	$53,703.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $123.03 / $269.15	Professional		$63.10	$123.03	$269.15
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $93.33 / $288.40	Facility		$77.62	$93.33	$288.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $144.54 / $239.88	Professional		$123.03	$144.54	$239.88
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $104.71 / $177.83	Professional		$77.62	$104.71	$177.83
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $50,118.72 / $75,857.76	Facility		$89.13	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $134.90 / $154.88	Professional		$107.15	$134.90	$154.88
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 $57.54 / $102.33 / $213.80	Professional		$57.54	$102.33	$213.80
Univera Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $95.50 / $288.40	Facility		$70.79	$95.50	$288.40
Univera Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $114.82 / $263.03	Professional		$77.62	$114.82	$263.03