Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $3,715.35 / $9,120.11	Facility		$371.54	$3,715.35	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $295.12 / $741.31	Professional		$234.42	$295.12	$741.31
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 $204.17 / $257.04 / $660.69	Professional		$204.17	$257.04	$660.69
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $1,698.24 / $6,165.95	Facility		$363.08	$1,698.24	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Professional		$363.08	$363.08	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $50,118.72	Facility		$436.52	$436.52	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $398.11 / $1,148.15	Professional		$263.03	$398.11	$1,148.15
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $281.84 / $645.65	Facility		$109.65	$281.84	$645.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $389.05 / $549.54	Professional		$281.84	$389.05	$549.54
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $338.84 / $549.54	Professional		$218.78	$338.84	$549.54
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $50,118.72 / $75,857.76	Facility		$269.15	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $398.11 / $707.95	Professional		$302.00	$398.11	$707.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,890.45 / $8,317.64	Facility		$1,819.70	$3,890.45	$8,317.64
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $316.23 / $776.25	Professional		$218.78	$316.23	$776.25
Univera Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $309.03 / $1,000.00	Facility		$213.80	$309.03	$1,000.00
Univera Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $316.23 / $660.69	Professional		$213.80	$316.23	$660.69