Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $3,090.30 / $9,772.37	Facility		$380.19	$3,090.30	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $288.40 / $831.76	Professional		$218.78	$288.40	$831.76
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 $204.17 / $257.04 / $660.69	Professional		$204.17	$257.04	$660.69
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $1,258.93 / $4,073.80	Facility		$346.74	$1,258.93	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Professional		$346.74	$346.74	$346.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $50,118.72	Facility		$416.87	$416.87	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $398.11 / $1,202.26	Professional		$245.47	$398.11	$1,202.26
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $467.74 / $831.76	Facility		$257.04	$467.74	$831.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $331.13 / $489.78	Professional		$245.47	$331.13	$489.78
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Facility		$229.09	$229.09	$229.09
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $309.03 / $512.86	Professional		$204.17	$309.03	$512.86
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 $302.00 / $398.11 / $630.96	Professional		$302.00	$398.11	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,754.23 / $4,897.79	Facility		$1,258.93	$2,754.23	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $331.13 / $812.83	Professional		$208.93	$331.13	$812.83
Univera Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $281.84 / $1,096.48	Facility		$199.53	$281.84	$1,096.48
Univera Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $295.12 / $660.69	Professional		$204.17	$295.12	$660.69