Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $2,884.03 / $7,762.47	Facility		$162.18	$2,884.03	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $151.36 / $323.59	Professional		$102.33	$151.36	$323.59
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 $120.23 / $141.25 / $288.40	Professional		$120.23	$141.25	$288.40
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $4,073.80	Facility		$151.36	$151.36	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $223.87	Professional		$151.36	$151.36	$223.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $177.83 / $3,801.89	Facility		$34.67	$177.83	$3,801.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $213.80 / $537.03	Professional		$114.82	$213.80	$537.03
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $125.89 / $302.00	Facility		$75.86	$125.89	$302.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $229.09 / $363.08	Professional		$181.97	$229.09	$363.08
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $199.53 / $309.03	Professional		$125.89	$199.53	$309.03
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $50,118.72 / $75,857.76	Facility		$114.82	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $275.42 / $407.38	Professional		$186.21	$275.42	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $2,511.89 / $4,897.79	Facility		$851.14	$2,511.89	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $144.54 / $338.84	Professional		$93.33	$144.54	$338.84
Univera Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $125.89 / $371.54	Facility		$85.11	$125.89	$371.54
Univera Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $173.78 / $302.00	Professional		$117.49	$173.78	$302.00