Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $3,090.30 / $7,762.47	Facility		$338.84	$3,090.30	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $363.08 / $758.58	Professional		$162.18	$363.08	$758.58
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 $295.12 / $371.54 / $977.24	Professional		$295.12	$371.54	$977.24
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,698.24 / $6,165.95	Facility		$229.09	$1,698.24	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $575.44	Professional		$229.09	$229.09	$575.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $1,659.59 / $50,118.72	Facility		$281.84	$1,659.59	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $501.19 / $1,412.54	Professional		$190.55	$501.19	$1,412.54
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $275.42 / $562.34	Facility		$169.82	$275.42	$562.34
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $389.05 / $691.83	Professional		$181.97	$389.05	$691.83
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $524.81 / $812.83	Professional		$323.59	$524.81	$812.83
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $50,118.72 / $75,857.76	Facility		$181.97	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $524.81 / $851.14	Professional		$398.11	$524.81	$851.14
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 $144.54 / $346.74 / $870.96	Professional		$144.54	$346.74	$870.96
Univera Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $213.80 / $575.44	Facility		$134.90	$213.80	$575.44
Univera Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $467.74 / $794.33	Professional		$309.03	$467.74	$794.33