Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $3,019.95 / $7,762.47	Facility		$158.49	$3,019.95	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $141.25 / $354.81	Professional		$95.50	$141.25	$354.81
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 $109.65 / $141.25 / $346.74	Professional		$109.65	$141.25	$346.74
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $1,698.24 / $6,165.95	Facility		$154.88	$1,698.24	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $218.78	Professional		$154.88	$154.88	$218.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $1,659.59 / $50,118.72	Facility		$186.21	$1,659.59	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $186.21 / $398.11	Professional		$107.15	$186.21	$398.11
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $125.89 / $363.08	Facility		$89.13	$125.89	$363.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $229.09 / $380.19	Professional		$194.98	$229.09	$380.19
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $169.82 / $288.40	Professional		$117.49	$169.82	$288.40
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $50,118.72 / $75,857.76	Facility		$117.49	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $234.42 / $398.11	Professional		$181.97	$234.42	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $2,754.23 / $4,897.79	Facility		$831.76	$2,754.23	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $138.04 / $295.12	Professional		$75.86	$138.04	$295.12
Univera Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $120.23 / $354.81	Facility		$91.20	$120.23	$354.81
Univera Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $181.97 / $338.84	Professional		$117.49	$181.97	$338.84