Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $3,090.30 / $7,762.47	Facility		$234.42	$3,090.30	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $190.55 / $676.08	Professional		$147.91	$190.55	$676.08
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 $128.82 / $162.18 / $426.58	Professional		$128.82	$162.18	$426.58
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $4,073.80	Facility		$251.19	$251.19	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Professional		$251.19	$251.19	$251.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $288.40 / $50,118.72	Facility		$34.67	$288.40	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $309.03 / $794.33	Professional		$154.88	$309.03	$794.33
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $181.97 / $549.54	Facility		$128.82	$181.97	$549.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $213.80 / $302.00	Professional		$173.78	$213.80	$302.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $234.42 / $363.08	Professional		$138.04	$234.42	$363.08
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $50,118.72 / $75,857.76	Facility		$3,235.94	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $251.19 / $446.68	Professional		$213.80	$251.19	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,754.23 / $5,495.41	Facility		$1,318.26	$2,754.23	$5,495.41
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $234.42 / $562.34	Professional		$158.49	$234.42	$562.34
Univera Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $199.53 / $302.00	Facility		$123.03	$199.53	$302.00
Univera Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $204.17 / $407.38	Professional		$134.90	$204.17	$407.38