Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $3,090.30 / $7,762.47	Facility		$114.82	$3,090.30	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $107.15 / $257.04	Professional		$70.79	$107.15	$257.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,786.30 / $10,000.00	Facility		$2,630.27	$4,786.30	$10,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $87.10 / $269.15	Professional		$67.61	$87.10	$269.15
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $1,698.24 / $6,165.95	Facility		$114.82	$1,698.24	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $169.82	Professional		$114.82	$114.82	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $50,118.72	Facility		$134.90	$134.90	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $169.82 / $426.58	Professional		$93.33	$169.82	$426.58
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $81.28 / $204.17	Facility		$50.12	$81.28	$204.17
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $169.82 / $245.47	Professional		$128.82	$169.82	$245.47
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $162.18 / $263.03	Professional		$85.11	$162.18	$263.03
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $50,118.72 / $75,857.76	Facility		$85.11	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $169.82 / $398.11	Professional		$134.90	$169.82	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $4,365.16 / $10,471.29	Facility		$2,137.96	$4,365.16	$10,471.29
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $128.82 / $269.15	Professional		$85.11	$128.82	$269.15
Univera Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $91.20 / $295.12	Facility		$64.57	$91.20	$295.12
Univera Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $147.91 / $269.15	Professional		$85.11	$147.91	$269.15