Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $2,951.21 / $7,762.47	Facility		$120.23	$2,951.21	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $89.13 / $229.09	Professional		$74.13	$89.13	$229.09
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 $79.43 / $100.00 / $218.78	Professional		$79.43	$100.00	$218.78
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 / $134.90	Professional		$125.89	$125.89	$134.90
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 / $120.23 / $269.15	Professional		$63.10	$120.23	$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 $120.23 / $141.25 / $234.42	Professional		$120.23	$141.25	$234.42
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $102.33 / $177.83	Professional		$75.86	$102.33	$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 / $151.36	Professional		$107.15	$134.90	$151.36
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 / $100.00 / $213.80	Professional		$57.54	$100.00	$213.80
Univera Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $95.50 / $281.84	Facility		$67.61	$95.50	$281.84
Univera Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $112.20 / $263.03	Professional		$75.86	$112.20	$263.03