Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $2,818.38 / $7,762.47	Facility		$131.83	$2,818.38	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $141.25 / $323.59	Professional		$87.10	$141.25	$323.59
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 $85.11 / $112.20 / $323.59	Professional		$85.11	$112.20	$323.59
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $4,073.80	Facility		$123.03	$123.03	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $234.42	Professional		$123.03	$123.03	$234.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $50,118.72	Facility		$147.91	$147.91	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $208.93 / $588.84	Professional		$102.33	$208.93	$588.84
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $89.13 / $199.53	Facility		$34.67	$89.13	$199.53
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $181.97 / $331.13	Professional		$81.28	$181.97	$331.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $245.47 / $363.08	Professional		$107.15	$245.47	$363.08
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $50,118.72 / $75,857.76	Facility		$95.50	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $218.78 / $398.11	Professional		$181.97	$218.78	$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 $75.86 / $141.25 / $354.81	Professional		$75.86	$141.25	$354.81
Univera Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $112.20 / $302.00	Facility		$70.79	$112.20	$302.00
Univera Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $213.80 / $354.81	Professional		$107.15	$213.80	$354.81