Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $2,818.38 / $7,762.47	Facility		$169.82	$2,818.38	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $158.49 / $389.05	Professional		$102.33	$158.49	$389.05
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 $151.36 / $186.21 / $398.11	Professional		$151.36	$186.21	$398.11
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $4,073.80	Facility		$158.49	$158.49	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $234.42	Professional		$158.49	$158.49	$234.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $194.98 / $50,118.72	Facility		$34.67	$194.98	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $245.47 / $575.44	Professional		$134.90	$245.47	$575.44
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $154.88 / $389.05	Facility		$120.23	$154.88	$389.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $245.47 / $354.81	Professional		$181.97	$245.47	$354.81
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $218.78 / $354.81	Professional		$131.83	$218.78	$354.81
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $50,118.72 / $75,857.76	Facility		$123.03	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $218.78 / $446.68	Professional		$186.21	$218.78	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $2,754.23 / $4,897.79	Facility		$912.01	$2,754.23	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $186.21 / $389.05	Professional		$120.23	$186.21	$389.05
Univera Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $128.82 / $416.87	Facility		$91.20	$128.82	$416.87
Univera Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $204.17 / $389.05	Professional		$131.83	$204.17	$389.05