Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $4,677.35 / $10,964.78	Facility		$263.03	$4,677.35	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $208.93 / $575.44	Professional		$165.96	$208.93	$575.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $11,220.18 / $19,054.61	Facility		$5,011.87	$11,220.18	$19,054.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $186.21 / $478.63	Professional		$144.54	$186.21	$478.63
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $12,882.50	Facility		$239.88	$239.88	$12,882.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Professional		$239.88	$239.88	$239.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $3,235.94 / $77,624.71	Facility		$34.67	$3,235.94	$77,624.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $316.23 / $891.25	Professional		$169.82	$316.23	$891.25
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $323.59 / $575.44	Facility		$173.78	$323.59	$575.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $223.87 / $302.00	Professional		$158.49	$223.87	$302.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $229.09 / $302.00	Professional		$125.89	$229.09	$302.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $50,118.72 / $75,857.76	Facility		$199.53	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $269.15 / $398.11	Professional		$218.78	$269.15	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $7,413.10 / $37,153.52	Facility		$2,511.89	$7,413.10	$37,153.52
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $218.78 / $501.19	Professional		$154.88	$218.78	$501.19
Univera Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $302.00 / $933.25	Facility		$131.83	$302.00	$933.25
Univera Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $234.42 / $891.25	Professional		$125.89	$234.42	$891.25