Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,778.28 / $2,884.03	Facility		$812.83	$1,778.28	$2,884.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $758.58 / $1,000.00	Professional		$575.44	$758.58	$1,000.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $2,454.71	Facility		$954.99	$954.99	$2,454.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $1,380.38	Professional		$380.19	$380.19	$1,380.38
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Facility		$954.99	$954.99	$954.99
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $954.99 / $954.99	Professional		$691.83	$954.99	$954.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $2,041.74 / $2,454.71	Facility		$616.60	$2,041.74	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,380.38 / $4,570.88	Professional		$954.99	$1,380.38	$4,570.88
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,584.89 / $3,630.78	Facility		$954.99	$1,584.89	$3,630.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,230.27 / $1,862.09	Professional		$1,000.00	$1,230.27	$1,862.09
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $912.01 / $1,698.24	Professional		$758.58	$912.01	$1,698.24
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,778.28 / $50,118.72	Facility		$1,230.27	$1,778.28	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $977.24	Professional		$954.99	$954.99	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $954.99 / $1,148.15	Facility		$851.14	$954.99	$1,148.15
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $575.44 / $1,258.93	Professional		$398.11	$575.44	$1,258.93
Univera Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $954.99 / $1,096.48	Facility		$812.83	$954.99	$1,096.48
Univera Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $954.99 / $1,862.09	Professional		$758.58	$954.99	$1,862.09