Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $3,090.30 / $7,762.47	Facility		$275.42	$3,090.30	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $218.78 / $524.81	Professional		$151.36	$218.78	$524.81
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 $190.55 / $239.88 / $549.54	Professional		$190.55	$239.88	$549.54
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $6,165.95	Facility		$239.88	$239.88	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $346.74	Professional		$239.88	$239.88	$346.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $288.40 / $50,118.72	Facility		$34.67	$288.40	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $269.15 / $575.44	Professional		$151.36	$269.15	$575.44
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $199.53 / $537.03	Facility		$162.18	$199.53	$537.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $331.13 / $537.03	Professional		$281.84	$331.13	$537.03
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $263.03 / $446.68	Professional		$181.97	$263.03	$446.68
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $50,118.72 / $75,857.76	Facility		$3,235.94	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $363.08 / $398.11	Professional		$281.84	$363.08	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $2,754.23 / $4,897.79	Facility		$954.99	$2,754.23	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $213.80 / $457.09	Professional		$114.82	$213.80	$457.09
Univera Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $181.97 / $588.84	Facility		$138.04	$181.97	$588.84
Univera Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $281.84 / $575.44	Professional		$181.97	$281.84	$575.44