Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $3,090.30 / $8,317.64	Facility		$147.91	$3,090.30	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $501.19 / $2,187.76	Professional		$77.62	$501.19	$2,187.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,786.30 / $10,232.93	Facility		$2,630.27	$4,786.30	$10,232.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $676.08 / $1,949.84	Professional		$537.03	$676.08	$1,949.84
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $8,912.51	Facility		$128.82	$128.82	$8,912.51
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $977.24	Professional		$128.82	$128.82	$977.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $151.36 / $50,118.72	Facility		$34.67	$151.36	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $776.25 / $2,570.40	Professional		$107.15	$776.25	$2,570.40
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $114.82 / $281.84	Facility		$87.10	$114.82	$281.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $776.25 / $1,122.02	Professional		$588.84	$776.25	$1,122.02
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $741.31 / $1,445.44	Professional		$524.81	$741.31	$1,445.44
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $50,118.72 / $75,857.76	Facility		$102.33	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,000.00 / $1,548.82	Professional		$851.14	$1,000.00	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,754.23 / $4,897.79	Facility		$1,318.26	$2,754.23	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $380.19 / $1,412.54	Professional		$63.10	$380.19	$1,412.54
Univera Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $95.50 / $144.54	Facility		$72.44	$95.50	$144.54
Univera Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $616.60 / $1,174.90	Professional		$158.49	$616.60	$1,174.90