Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $3,801.89 / $10,964.78	Facility		$223.87	$3,801.89	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $194.98 / $398.11	Professional		$151.36	$194.98	$398.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $6,025.60 / $12,302.69	Facility		$3,388.44	$6,025.60	$12,302.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $177.83 / $457.09	Professional		$141.25	$177.83	$457.09
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Facility		$223.87	$223.87	$223.87
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Professional		$223.87	$223.87	$223.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $269.15 / $50,118.72	Facility		$34.67	$269.15	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $281.84 / $741.31	Professional		$158.49	$281.84	$741.31
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $275.42 / $549.54	Facility		$169.82	$275.42	$549.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $213.80 / $295.12	Professional		$151.36	$213.80	$295.12
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $181.97 / $288.40	Professional		$117.49	$181.97	$288.40
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $50,118.72 / $75,857.76	Facility		$190.55	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $223.87 / $257.04	Professional		$177.83	$223.87	$257.04
United Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $4,168.69 / $9,332.54	Facility		$1,513.56	$4,168.69	$9,332.54
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $208.93 / $478.63	Professional		$147.91	$208.93	$478.63
Univera Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $199.53 / $223.87	Facility		$125.89	$199.53	$223.87
Univera Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $181.97 / $316.23	Professional		$117.49	$181.97	$316.23