Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $2,818.38 / $7,762.47	Facility		$165.96	$2,818.38	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $162.18 / $389.05	Professional		$95.50	$162.18	$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 $131.83 / $165.96 / $436.52	Professional		$131.83	$165.96	$436.52
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $1,258.93 / $4,073.80	Facility		$141.25	$1,258.93	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $234.42	Professional		$141.25	$141.25	$234.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $169.82 / $50,118.72	Facility		$34.67	$169.82	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $208.93 / $575.44	Professional		$109.65	$208.93	$575.44
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $109.65 / $331.13	Facility		$87.10	$109.65	$331.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $269.15 / $575.44	Professional		$186.21	$269.15	$575.44
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Facility		$147.91	$147.91	$147.91
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $204.17 / $346.74	Professional		$138.04	$204.17	$346.74
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $50,118.72 / $75,857.76	Facility		$120.23	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $281.84 / $537.03	Professional		$190.55	$281.84	$537.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $3,311.31 / $6,165.95	Facility		$1,445.44	$3,311.31	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $173.78 / $416.87	Professional		$93.33	$173.78	$416.87
Univera Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $114.82 / $213.80	Facility		$81.28	$114.82	$213.80
Univera Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $190.55 / $346.74	Professional		$131.83	$190.55	$346.74