Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $5,495.41 / $11,748.98	Facility		$194.98	$5,495.41	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $165.96 / $575.44	Professional		$114.82	$165.96	$575.44
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 $100.00 / $131.83 / $338.84	Professional		$100.00	$131.83	$338.84
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $2,630.27 / $12,302.69	Facility		$186.21	$2,630.27	$12,302.69
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $2,290.87 / $50,118.72	Facility		$223.87	$2,290.87	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $269.15 / $602.56	Professional		$158.49	$269.15	$602.56
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $218.78 / $478.63	Facility		$147.91	$218.78	$478.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $177.83 / $245.47	Professional		$134.90	$177.83	$245.47
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $630.96 / $741.31	Professional		$120.23	$630.96	$741.31
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $50,118.72 / $75,857.76	Facility		$144.54	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $218.78 / $398.11	Professional		$162.18	$218.78	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $5,128.61 / $11,481.54	Facility		$2,398.83	$5,128.61	$11,481.54
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $173.78 / $380.19	Professional		$120.23	$173.78	$380.19
Univera Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $141.25 / $467.74	Facility		$107.15	$141.25	$467.74
Univera Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $407.38 / $724.44	Professional		$109.65	$407.38	$724.44