Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $3,162.28 / $10,964.78	Facility		$93.33	$3,162.28	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $89.13 / $190.55	Professional		$67.61	$89.13	$190.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $4,677.35 / $9,549.93	Facility		$2,454.71	$4,677.35	$9,549.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $72.44 / $181.97	Professional		$56.23	$72.44	$181.97
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $37,153.52	Facility		$97.72	$97.72	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Professional		$97.72	$97.72	$97.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $114.82 / $53,703.18	Facility		$34.67	$114.82	$53,703.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $120.23 / $316.23	Professional		$52.48	$120.23	$316.23
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $128.82 / $223.87	Facility		$67.61	$128.82	$223.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $85.11 / $123.03	Professional		$60.26	$85.11	$123.03
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $79.43 / $125.89	Professional		$47.86	$79.43	$125.89
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $50,118.72 / $75,857.76	Facility		$75.86	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $97.72 / $398.11	Professional		$81.28	$97.72	$398.11
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 $60.26 / $85.11 / $190.55	Professional		$60.26	$85.11	$190.55
Univera Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $87.10 / $275.42	Facility		$54.95	$87.10	$275.42
Univera Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $87.10 / $257.04	Professional		$47.86	$87.10	$257.04