Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $3,019.95 / $7,762.47	Facility		$288.40	$3,019.95	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $245.47 / $912.01	Professional		$173.78	$245.47	$912.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,786.30 / $9,549.93	Facility		$2,630.27	$4,786.30	$9,549.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $177.83 / $467.74	Professional		$151.36	$177.83	$467.74
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $8,912.51	Facility		$263.03	$263.03	$8,912.51
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Professional		$263.03	$263.03	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $316.23 / $5,754.40	Facility		$34.67	$316.23	$5,754.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $346.74 / $1,148.15	Professional		$181.97	$346.74	$1,148.15
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $239.88 / $691.83	Facility		$194.98	$239.88	$691.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $812.83 / $1,288.25	Professional		$645.65	$812.83	$1,288.25
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Facility		$478.63	$478.63	$478.63
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $602.56 / $1,122.02	Professional		$162.18	$602.56	$1,122.02
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 $223.87 / $275.42 / $1,445.44	Professional		$223.87	$275.42	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,801.89 / $8,128.31	Facility		$1,698.24	$3,801.89	$8,128.31
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $223.87 / $630.96	Professional		$147.91	$223.87	$630.96
Univera Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $218.78 / $537.03	Facility		$151.36	$218.78	$537.03
Univera Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $562.34 / $1,000.00	Professional		$169.82	$562.34	$1,000.00