Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $2,951.21 / $7,413.10	Facility		$128.82	$2,951.21	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $144.54 / $302.00	Professional		$83.18	$144.54	$302.00
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 $95.50 / $120.23 / $338.84	Professional		$95.50	$120.23	$338.84
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $1,258.93 / $4,073.80	Facility		$112.20	$1,258.93	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $190.55	Professional		$112.20	$112.20	$190.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $50,118.72	Facility		$134.90	$134.90	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $204.17 / $549.54	Professional		$97.72	$204.17	$549.54
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $85.11 / $190.55	Facility		$34.67	$85.11	$190.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $199.53 / $288.40	Professional		$147.91	$199.53	$288.40
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $199.53 / $338.84	Professional		$93.33	$199.53	$338.84
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $50,118.72 / $75,857.76	Facility		$102.33	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $194.98 / $398.11	Professional		$162.18	$194.98	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $3,311.31 / $6,165.95	Facility		$1,479.11	$3,311.31	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $131.83 / $323.59	Professional		$70.79	$131.83	$323.59
Univera Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $102.33 / $309.03	Facility		$64.57	$102.33	$309.03
Univera Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $177.83 / $288.40	Professional		$102.33	$177.83	$288.40