Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $2,884.03 / $9,120.11	Facility		$85.11	$2,884.03	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $109.65 / $204.17	Professional		$58.88	$109.65	$204.17
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 $100.00 / $125.89 / $295.12	Professional		$100.00	$125.89	$295.12
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $4,073.80	Facility		$81.28	$81.28	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $158.49	Professional		$81.28	$81.28	$158.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $102.33 / $50,118.72	Facility		$34.67	$102.33	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $158.49 / $467.74	Professional		$70.79	$158.49	$467.74
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $63.10 / $144.54	Facility		$34.67	$63.10	$144.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $158.49 / $229.09	Professional		$117.49	$158.49	$229.09
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $144.54 / $234.42	Professional		$91.20	$144.54	$234.42
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $50,118.72 / $75,857.76	Facility		$63.10	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $165.96 / $398.11	Professional		$134.90	$165.96	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,754.23 / $4,897.79	Facility		$1,148.15	$2,754.23	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $100.00 / $251.19	Professional		$50.12	$100.00	$251.19
Univera Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $64.57 / $204.17	Facility		$48.98	$64.57	$204.17
Univera Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $131.83 / $234.42	Professional		$85.11	$131.83	$234.42