Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $3,090.30 / $7,762.47	Facility		$213.80	$3,090.30	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $213.80 / $489.78	Professional		$125.89	$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 $162.18 / $204.17 / $537.03	Professional		$162.18	$204.17	$537.03
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $1,698.24 / $6,165.95	Facility		$177.83	$1,698.24	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $302.00	Professional		$177.83	$177.83	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $1,659.59 / $50,118.72	Facility		$218.78	$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 $120.23 / $154.88 / $436.52	Facility		$120.23	$154.88	$436.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $309.03 / $446.68	Professional		$229.09	$309.03	$446.68
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $281.84 / $457.09	Professional		$177.83	$281.84	$457.09
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $50,118.72 / $75,857.76	Facility		$138.04	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $316.23 / $446.68	Professional		$257.04	$316.23	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $4,365.16 / $9,772.37	Facility		$2,137.96	$4,365.16	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $199.53 / $501.19	Professional		$112.20	$199.53	$501.19
Univera Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $141.25 / $467.74	Facility		$104.71	$141.25	$467.74
Univera Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $263.03 / $457.09	Professional		$177.83	$263.03	$457.09