Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $3,801.89 / $10,232.93	Facility		$181.97	$3,801.89	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $131.83 / $389.05	Professional		$102.33	$131.83	$389.05
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 $87.10 / $109.65 / $316.23	Professional		$87.10	$109.65	$316.23
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $1,698.24 / $6,165.95	Facility		$162.18	$1,698.24	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $50,118.72	Facility		$194.98	$194.98	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $181.97 / $562.34	Professional		$114.82	$181.97	$562.34
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $316.23 / $562.34	Facility		$120.23	$316.23	$562.34
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $154.88 / $229.09	Professional		$114.82	$154.88	$229.09
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $144.54 / $239.88	Professional		$95.50	$144.54	$239.88
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $50,118.72 / $75,857.76	Facility		$125.89	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $213.80 / $398.11	Professional		$141.25	$213.80	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,754.23 / $5,495.41	Facility		$1,258.93	$2,754.23	$5,495.41
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $154.88 / $371.54	Professional		$97.72	$154.88	$371.54
Univera Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $131.83 / $588.84	Facility		$91.20	$131.83	$588.84
Univera Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $138.04 / $346.74	Professional		$93.33	$138.04	$346.74