Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $2,754.23 / $7,585.78	Facility		$208.93	$2,754.23	$7,585.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $257.04 / $676.08	Professional		$144.54	$257.04	$676.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $208.93 / $575.44	Professional		$165.96	$208.93	$575.44
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Facility		$251.19	$251.19	$251.19
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $363.08	Professional		$251.19	$251.19	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $302.00 / $50,118.72	Facility		$34.67	$302.00	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $354.81 / $912.01	Professional		$194.98	$354.81	$912.01
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $251.19 / $630.96	Facility		$194.98	$251.19	$630.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $288.40 / $489.78	Professional		$151.36	$288.40	$489.78
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $316.23 / $562.34	Professional		$158.49	$316.23	$562.34
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $50,118.72 / $75,857.76	Facility		$269.15	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $331.13 / $524.81	Professional		$251.19	$331.13	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $4,168.69 / $9,120.11	Facility		$1,412.54	$4,168.69	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $223.87 / $537.03	Professional		$144.54	$223.87	$537.03
Univera Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $190.55 / $389.05	Facility		$144.54	$190.55	$389.05
Univera Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $288.40 / $549.54	Professional		$162.18	$288.40	$549.54