Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $3,090.30 / $7,762.47	Facility		$245.47	$3,090.30	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $194.98 / $602.56	Professional		$158.49	$194.98	$602.56
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 $141.25 / $165.96 / $338.84	Professional		$141.25	$165.96	$338.84
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $1,258.93 / $4,073.80	Facility		$251.19	$1,258.93	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Professional		$251.19	$251.19	$251.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $1,023.29 / $4,365.16	Facility		$309.03	$1,023.29	$4,365.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $275.42 / $707.95	Professional		$154.88	$275.42	$707.95
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $234.42 / $630.96	Facility		$151.36	$234.42	$630.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $263.03 / $416.87	Professional		$204.17	$263.03	$416.87
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $223.87 / $380.19	Professional		$128.82	$223.87	$380.19
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $50,118.72 / $75,857.76	Facility		$162.18	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $263.03 / $489.78	Professional		$213.80	$263.03	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $4,265.80 / $9,549.93	Facility		$1,819.70	$4,265.80	$9,549.93
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $194.98 / $457.09	Professional		$134.90	$194.98	$457.09
Univera Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $213.80 / $602.56	Facility		$144.54	$213.80	$602.56
Univera Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $213.80 / $457.09	Professional		$144.54	$213.80	$457.09