Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $2,884.03 / $7,762.47	Facility		$107.15	$2,884.03	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $131.83 / $309.03	Professional		$70.79	$131.83	$309.03
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 $81.28 / $104.71 / $309.03	Professional		$81.28	$104.71	$309.03
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $4,073.80	Facility		$100.00	$100.00	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $218.78	Professional		$100.00	$100.00	$218.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $50,118.72	Facility		$123.03	$123.03	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $194.98 / $562.34	Professional		$85.11	$194.98	$562.34
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $74.13 / $165.96	Facility		$34.67	$74.13	$165.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $234.42 / $338.84	Professional		$177.83	$234.42	$338.84
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $234.42 / $407.38	Professional		$100.00	$234.42	$407.38
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $50,118.72 / $75,857.76	Facility		$79.43	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $208.93 / $398.11	Professional		$169.82	$208.93	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $2,754.23 / $4,897.79	Facility		$870.96	$2,754.23	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $128.82 / $323.59	Professional		$61.66	$128.82	$323.59
Univera Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $93.33 / $251.19	Facility		$57.54	$93.33	$251.19
Univera Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $208.93 / $338.84	Professional		$100.00	$208.93	$338.84