Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $3,090.30 / $7,762.47	Facility		$229.09	$3,090.30	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $208.93 / $512.86	Professional		$154.88	$208.93	$512.86
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 $158.49 / $194.98 / $489.78	Professional		$158.49	$194.98	$489.78
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,698.24 / $6,165.95	Facility		$229.09	$1,698.24	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $295.12	Professional		$229.09	$229.09	$295.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $50,118.72	Facility		$288.40	$288.40	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $269.15 / $707.95	Professional		$165.96	$269.15	$707.95
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $204.17 / $467.74	Facility		$114.82	$204.17	$467.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $380.19 / $549.54	Professional		$275.42	$380.19	$549.54
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Facility		$204.17	$204.17	$204.17
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $288.40 / $467.74	Professional		$162.18	$288.40	$467.74
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $50,118.72 / $75,857.76	Facility		$144.54	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $363.08 / $630.96	Professional		$239.88	$363.08	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,754.23 / $4,897.79	Facility		$1,096.48	$2,754.23	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $218.78 / $562.34	Professional		$141.25	$218.78	$562.34
Univera Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $204.17 / $602.56	Facility		$138.04	$204.17	$602.56
Univera Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $263.03 / $512.86	Professional		$169.82	$263.03	$512.86