Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $2,884.03 / $7,762.47	Facility		$93.33	$2,884.03	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $144.54 / $275.42	Professional		$60.26	$144.54	$275.42
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 $104.71 / $128.82 / $323.59	Professional		$104.71	$128.82	$323.59
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $4,073.80	Facility		$87.10	$87.10	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $229.09	Professional		$87.10	$87.10	$229.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $104.71 / $50,118.72	Facility		$34.67	$104.71	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $151.36 / $457.09	Professional		$63.10	$151.36	$457.09
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $77.62 / $199.53	Facility		$60.26	$77.62	$199.53
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $229.09 / $295.12	Professional		$154.88	$229.09	$295.12
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $199.53 / $323.59	Professional		$123.03	$199.53	$323.59
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $50,118.72 / $75,857.76	Facility		$67.61	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $295.12 / $398.11	Professional		$181.97	$295.12	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,754.23 / $4,897.79	Facility		$1,318.26	$2,754.23	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $128.82 / $338.84	Professional		$53.70	$128.82	$338.84
Univera Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $72.44 / $275.42	Facility		$48.98	$72.44	$275.42
Univera Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $186.21 / $316.23	Professional		$123.03	$186.21	$316.23