Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $2,951.21 / $7,413.10	Facility		$281.84	$2,951.21	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $275.42 / $537.03	Professional		$128.82	$275.42	$537.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,786.30 / $10,232.93	Facility		$2,630.27	$4,786.30	$10,232.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $251.19 / $562.34	Professional		$208.93	$251.19	$562.34
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $6,165.95	Facility		$186.21	$186.21	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $436.52	Professional		$186.21	$186.21	$436.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $223.87 / $7,943.28	Facility		$34.67	$223.87	$7,943.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $371.54 / $891.25	Professional		$151.36	$371.54	$891.25
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $204.17 / $489.78	Facility		$125.89	$204.17	$489.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $489.78 / $776.25	Professional		$389.05	$489.78	$776.25
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $398.11 / $630.96	Professional		$208.93	$398.11	$630.96
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $50,118.72 / $75,857.76	Facility		$186.21	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $407.38 / $794.33	Professional		$331.13	$407.38	$794.33
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,890.45 / $8,128.31	Facility		$1,698.24	$3,890.45	$8,128.31
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $251.19 / $588.84	Professional		$114.82	$251.19	$588.84
Univera Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $158.49 / $275.42	Facility		$107.15	$158.49	$275.42
Univera Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $363.08 / $588.84	Professional		$234.42	$363.08	$588.84