Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $141.25 / $204.17	Facility		$107.15	$141.25	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $120.23 / $257.04	Professional		$85.11	$120.23	$257.04
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 $97.72 / $120.23 / $309.03	Professional		$97.72	$120.23	$309.03
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $6,165.95	Facility		$131.83	$131.83	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $173.78	Professional		$131.83	$131.83	$173.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $158.49 / $50,118.72	Facility		$34.67	$158.49	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $169.82 / $446.68	Professional		$97.72	$169.82	$446.68
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $104.71 / $263.03	Facility		$64.57	$104.71	$263.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $218.78 / $316.23	Professional		$158.49	$218.78	$316.23
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Facility		$117.49	$117.49	$117.49
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $165.96 / $263.03	Professional		$95.50	$165.96	$263.03
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $50,118.72 / $75,857.76	Facility		$87.10	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $223.87 / $436.52	Professional		$144.54	$223.87	$436.52
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 $83.18 / $131.83 / $338.84	Professional		$83.18	$131.83	$338.84
Univera Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $112.20 / $389.05	Facility		$75.86	$112.20	$389.05
Univera Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $158.49 / $323.59	Professional		$100.00	$158.49	$323.59