Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $2,884.03 / $7,762.47	Facility		$112.20	$2,884.03	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $107.15 / $251.19	Professional		$77.62	$107.15	$251.19
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 $75.86 / $95.50 / $223.87	Professional		$75.86	$95.50	$223.87
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $4,073.80	Facility		$112.20	$112.20	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $144.54	Professional		$112.20	$112.20	$144.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $134.90 / $50,118.72	Facility		$34.67	$134.90	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $141.25 / $363.08	Professional		$83.18	$141.25	$363.08
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $97.72 / $281.84	Facility		$75.86	$97.72	$281.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $169.82 / $223.87	Professional		$117.49	$169.82	$223.87
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $141.25 / $234.42	Professional		$81.28	$141.25	$234.42
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $50,118.72 / $75,857.76	Facility		$87.10	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $208.93 / $398.11	Professional		$120.23	$208.93	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,754.23 / $4,897.79	Facility		$1,318.26	$2,754.23	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $100.00 / $223.87	Professional		$63.10	$100.00	$223.87
Univera Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $107.15 / $263.03	Facility		$64.57	$107.15	$263.03
Univera Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $141.25 / $245.47	Professional		$81.28	$141.25	$245.47