Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $2,951.21 / $7,413.10	Facility		$194.98	$2,951.21	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $194.98 / $354.81	Professional		$85.11	$194.98	$354.81
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 $134.90 / $158.49 / $371.54	Professional		$134.90	$158.49	$371.54
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $1,258.93 / $4,073.80	Facility		$125.89	$1,258.93	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $302.00	Professional		$125.89	$125.89	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $3,801.89	Facility		$151.36	$151.36	$3,801.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $234.42 / $602.56	Professional		$104.71	$234.42	$602.56
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $173.78 / $338.84	Facility		$104.71	$173.78	$338.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $338.84 / $537.03	Professional		$269.15	$338.84	$537.03
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Facility		$190.55	$190.55	$190.55
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $275.42 / $436.52	Professional		$165.96	$275.42	$436.52
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $50,118.72 / $75,857.76	Facility		$97.72	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $398.11 / $549.54	Professional		$234.42	$398.11	$549.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,630.78 / $8,128.31	Facility		$1,698.24	$3,630.78	$8,128.31
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $169.82 / $389.05	Professional		$79.43	$169.82	$389.05
Univera Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $128.82 / $691.83	Facility		$72.44	$128.82	$691.83
Univera Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $275.42 / $467.74	Professional		$165.96	$275.42	$467.74