Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,122.02 / $1,819.70	Facility		$512.86	$1,122.02	$1,819.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $478.63 / $630.96	Professional		$354.81	$478.63	$630.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $1,548.82	Facility		$602.56	$602.56	$1,548.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $870.96	Professional		$239.88	$239.88	$870.96
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Facility		$602.56	$602.56	$602.56
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $602.56 / $602.56	Professional		$436.52	$602.56	$602.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,288.25 / $1,548.82	Facility		$389.05	$1,288.25	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $870.96 / $2,884.03	Professional		$602.56	$870.96	$2,884.03
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $977.24 / $2,290.87	Facility		$602.56	$977.24	$2,290.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $776.25 / $1,148.15	Professional		$630.96	$776.25	$1,148.15
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $588.84 / $1,071.52	Professional		$478.63	$588.84	$1,071.52
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,122.02 / $50,118.72	Facility		$776.25	$1,122.02	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $616.60	Professional		$602.56	$602.56	$616.60
United Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $602.56 / $724.44	Facility		$537.03	$602.56	$724.44
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $354.81 / $794.33	Professional		$251.19	$354.81	$794.33
Univera Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $602.56 / $691.83	Facility		$354.81	$602.56	$691.83
Univera Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $602.56 / $1,174.90	Professional		$478.63	$602.56	$1,174.90