Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $3,548.13 / $7,762.47	Facility		$346.74	$3,548.13	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $204.17 / $588.84	Professional		$154.88	$204.17	$588.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,786.30 / $10,232.93	Facility		$2,630.27	$4,786.30	$10,232.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $177.83 / $426.58	Professional		$141.25	$177.83	$426.58
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $1,698.24 / $6,165.95	Facility		$245.47	$1,698.24	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Professional		$245.47	$245.47	$245.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $1,659.59 / $50,118.72	Facility		$288.40	$1,659.59	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $323.59 / $831.76	Professional		$134.90	$323.59	$831.76
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $223.87 / $575.44	Facility		$177.83	$223.87	$575.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $208.93 / $302.00	Professional		$154.88	$208.93	$302.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $208.93 / $354.81	Professional		$144.54	$208.93	$354.81
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $50,118.72 / $75,857.76	Facility		$186.21	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $251.19 / $398.11	Professional		$213.80	$251.19	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $3,981.07 / $8,317.64	Facility		$1,862.09	$3,981.07	$8,317.64
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $194.98 / $512.86	Professional		$134.90	$194.98	$512.86
Univera Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $181.97 / $645.65	Facility		$138.04	$181.97	$645.65
Univera Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $204.17 / $537.03	Professional		$138.04	$204.17	$537.03