Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $154.88 / $3,630.78	Facility		$63.10	$154.88	$3,630.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $87.10 / $181.97	Professional		$47.86	$87.10	$181.97
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 $69.18 / $87.10 / $218.78	Professional		$69.18	$87.10	$218.78
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $4,073.80	Facility		$67.61	$67.61	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $128.82	Professional		$67.61	$67.61	$128.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $50,118.72	Facility		$83.18	$83.18	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $123.03 / $416.87	Professional		$57.54	$123.03	$416.87
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $60.26 / $151.36	Facility		$37.15	$60.26	$151.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $125.89 / $181.97	Professional		$93.33	$125.89	$181.97
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $114.82 / $190.55	Professional		$72.44	$114.82	$190.55
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $50,118.72 / $75,857.76	Facility		$51.29	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $131.83 / $398.11	Professional		$107.15	$131.83	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $2,754.23 / $4,897.79	Facility		$870.96	$2,754.23	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $79.43 / $204.17	Professional		$41.69	$79.43	$204.17
Univera Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $53.70 / $162.18	Facility		$40.74	$53.70	$162.18
Univera Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $104.71 / $190.55	Professional		$72.44	$104.71	$190.55