Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $2,884.03 / $7,762.47	Facility		$199.53	$2,884.03	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $158.49 / $398.11	Professional		$128.82	$158.49	$398.11
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 $114.82 / $147.91 / $363.08	Professional		$114.82	$147.91	$363.08
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $1,258.93 / $4,073.80	Facility		$204.17	$1,258.93	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $208.93	Professional		$204.17	$204.17	$208.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $50,118.72	Facility		$257.04	$257.04	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $208.93 / $588.84	Professional		$144.54	$208.93	$588.84
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $208.93 / $660.69	Facility		$162.18	$208.93	$660.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $288.40 / $416.87	Professional		$208.93	$288.40	$416.87
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Facility		$144.54	$144.54	$144.54
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $204.17 / $323.59	Professional		$117.49	$204.17	$323.59
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $50,118.72 / $75,857.76	Facility		$134.90	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $263.03 / $537.03	Professional		$173.78	$263.03	$537.03
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 $125.89 / $186.21 / $457.09	Professional		$125.89	$186.21	$457.09
Univera Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $181.97 / $562.34	Facility		$123.03	$181.97	$562.34
Univera Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $186.21 / $416.87	Professional		$123.03	$186.21	$416.87