Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $2,884.03 / $7,762.47	Facility		$251.19	$2,884.03	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $239.88 / $562.34	Professional		$151.36	$239.88	$562.34
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 $173.78 / $218.78 / $616.60	Professional		$173.78	$218.78	$616.60
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $1,258.93 / $4,073.80	Facility		$223.87	$1,258.93	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $346.74	Professional		$223.87	$223.87	$346.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $50,118.72	Facility		$263.03	$263.03	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $323.59 / $851.14	Professional		$165.96	$323.59	$851.14
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $154.88 / $346.74	Facility		$79.43	$154.88	$346.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $398.11 / $562.34	Professional		$281.84	$398.11	$562.34
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Facility		$223.87	$223.87	$223.87
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $302.00 / $512.86	Professional		$204.17	$302.00	$512.86
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 $288.40 / $398.11 / $630.96	Professional		$288.40	$398.11	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $3,311.31 / $6,165.95	Facility		$1,621.81	$3,311.31	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $263.03 / $645.65	Professional		$144.54	$263.03	$645.65
Univera Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $181.97 / $676.08	Facility		$125.89	$181.97	$676.08
Univera Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $288.40 / $575.44	Professional		$194.98	$288.40	$575.44