Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $2,884.03 / $7,762.47	Facility		$138.04	$2,884.03	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $309.03 / $691.83	Professional		$93.33	$309.03	$691.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,630.78 / $5,011.87	Facility		$1,819.70	$3,630.78	$5,011.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $489.78 / $1,122.02	Professional		$389.05	$489.78	$1,122.02
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $1,258.93 / $4,073.80	Facility		$128.82	$1,258.93	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $645.65	Professional		$128.82	$128.82	$645.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $138.04 / $50,118.72	Facility		$34.67	$138.04	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $302.00 / $1,047.13	Professional		$79.43	$302.00	$1,047.13
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $117.49 / $281.84	Facility		$85.11	$117.49	$281.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $562.34 / $758.58	Professional		$389.05	$562.34	$758.58
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $426.58 / $676.08	Professional		$309.03	$426.58	$676.08
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $50,118.72 / $75,857.76	Facility		$109.65	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $575.44 / $645.65	Professional		$467.74	$575.44	$645.65
United Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $3,311.31 / $6,165.95	Facility		$1,445.44	$3,311.31	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $354.81 / $851.14	Professional		$85.11	$354.81	$851.14
Univera Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $102.33 / $138.04	Facility		$64.57	$102.33	$138.04
Univera Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $346.74 / $616.60	Professional		$131.83	$346.74	$616.60