Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $3,090.30 / $7,762.47	Facility		$223.87	$3,090.30	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $213.80 / $489.78	Professional		$117.49	$213.80	$489.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $5,888.44 / $12,302.69	Facility		$3,388.44	$5,888.44	$12,302.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $208.93 / $549.54	Professional		$165.96	$208.93	$549.54
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $1,698.24 / $6,165.95	Facility		$169.82	$1,698.24	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $302.00	Professional		$169.82	$169.82	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $1,659.59 / $50,118.72	Facility		$204.17	$1,659.59	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $295.12 / $776.25	Professional		$141.25	$295.12	$776.25
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $144.54 / $407.38	Facility		$117.49	$144.54	$407.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $302.00 / $436.52	Professional		$229.09	$302.00	$436.52
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $288.40 / $457.09	Professional		$181.97	$288.40	$457.09
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $50,118.72 / $75,857.76	Facility		$128.82	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $316.23 / $457.09	Professional		$257.04	$316.23	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $4,168.69 / $9,120.11	Facility		$1,862.09	$4,168.69	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $194.98 / $501.19	Professional		$104.71	$194.98	$501.19
Univera Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $131.83 / $426.58	Facility		$97.72	$131.83	$426.58
Univera Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $257.04 / $457.09	Professional		$173.78	$257.04	$457.09