Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $2,951.21 / $7,585.78	Facility		$245.47	$2,951.21	$7,585.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $208.93 / $512.86	Professional		$165.96	$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 $151.36 / $190.55 / $478.63	Professional		$151.36	$190.55	$478.63
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $6,165.95	Facility		$245.47	$245.47	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $275.42	Professional		$245.47	$245.47	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $302.00 / $50,118.72	Facility		$34.67	$302.00	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $281.84 / $741.31	Professional		$181.97	$281.84	$741.31
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $213.80 / $660.69	Facility		$173.78	$213.80	$660.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $323.59 / $446.68	Professional		$229.09	$323.59	$446.68
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Facility		$190.55	$190.55	$190.55
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $263.03 / $426.58	Professional		$165.96	$263.03	$426.58
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $50,118.72 / $75,857.76	Facility		$194.98	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $338.84 / $537.03	Professional		$229.09	$338.84	$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 $158.49 / $223.87 / $562.34	Professional		$158.49	$223.87	$562.34
Univera Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $218.78 / $831.76	Facility		$147.91	$218.78	$831.76
Univera Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $239.88 / $549.54	Professional		$165.96	$239.88	$549.54