Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $2,884.03 / $7,762.47	Facility		$194.98	$2,884.03	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $177.83 / $457.09	Professional		$134.90	$177.83	$457.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,786.30 / $10,232.93	Facility		$2,630.27	$4,786.30	$10,232.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $208.93 / $407.38	Professional		$169.82	$208.93	$407.38
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $1,258.93 / $4,073.80	Facility		$213.80	$1,258.93	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $251.19	Professional		$213.80	$213.80	$251.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $1,318.26 / $50,118.72	Facility		$257.04	$1,318.26	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $275.42 / $645.65	Professional		$158.49	$275.42	$645.65
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $162.18 / $371.54	Facility		$75.86	$162.18	$371.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $257.04 / $371.54	Professional		$194.98	$257.04	$371.54
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $234.42 / $389.05	Professional		$131.83	$234.42	$389.05
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $50,118.72 / $75,857.76	Facility		$147.91	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $245.47 / $398.11	Professional		$204.17	$245.47	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $4,365.16 / $9,549.93	Facility		$2,137.96	$4,365.16	$9,549.93
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $208.93 / $416.87	Professional		$151.36	$208.93	$416.87
Univera Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $177.83 / $457.09	Facility		$128.82	$177.83	$457.09
Univera Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $218.78 / $501.19	Professional		$134.90	$218.78	$501.19