Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $2,951.21 / $7,762.47	Facility		$154.88	$2,951.21	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $114.82 / $295.12	Professional		$95.50	$114.82	$295.12
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 $97.72 / $125.89 / $275.42	Professional		$97.72	$125.89	$275.42
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $1,258.93 / $4,073.80	Facility		$154.88	$1,258.93	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $165.96	Professional		$154.88	$154.88	$165.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $1,318.26 / $50,118.72	Facility		$186.21	$1,318.26	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $154.88 / $331.13	Professional		$81.28	$154.88	$331.13
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $123.03 / $380.19	Facility		$102.33	$123.03	$380.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $177.83 / $295.12	Professional		$147.91	$177.83	$295.12
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $125.89 / $213.80	Professional		$93.33	$125.89	$213.80
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $50,118.72 / $75,857.76	Facility		$120.23	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $165.96 / $194.98	Professional		$128.82	$165.96	$194.98
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 $72.44 / $123.03 / $263.03	Professional		$72.44	$123.03	$263.03
Univera Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $114.82 / $380.19	Facility		$87.10	$114.82	$380.19
Univera Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $138.04 / $338.84	Professional		$93.33	$138.04	$338.84