Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $2,884.03 / $7,413.10	Facility		$158.49	$2,884.03	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $223.87 / $478.63	Professional		$79.43	$223.87	$478.63
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 $186.21 / $223.87 / $467.74	Professional		$186.21	$223.87	$467.74
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $1,258.93 / $4,073.80	Facility		$117.49	$1,258.93	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $426.58	Professional		$117.49	$117.49	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $3,801.89	Facility		$144.54	$144.54	$3,801.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $275.42 / $724.44	Professional		$91.20	$275.42	$724.44
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $107.15 / $316.23	Facility		$79.43	$107.15	$316.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $467.74 / $741.31	Professional		$371.54	$467.74	$741.31
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Facility		$263.03	$263.03	$263.03
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $380.19 / $602.56	Professional		$199.53	$380.19	$602.56
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $50,118.72 / $75,857.76	Facility		$81.28	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $398.11 / $758.58	Professional		$323.59	$398.11	$758.58
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 $74.13 / $208.93 / $478.63	Professional		$74.13	$208.93	$478.63
Univera Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $100.00 / $363.08	Facility		$67.61	$100.00	$363.08
Univera Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $346.74 / $588.84	Professional		$199.53	$346.74	$588.84