Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,445.44 / $2,290.87	Facility		$645.65	$1,445.44	$2,290.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $575.44 / $741.31	Professional		$416.87	$575.44	$741.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $977.24	Professional		$302.00	$302.00	$977.24
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $758.58 / $758.58	Professional		$549.54	$758.58	$758.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,621.81 / $1,949.84	Facility		$501.19	$1,621.81	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $3,630.78 / $3,630.78	Professional		$870.96	$3,630.78	$3,630.78
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,258.93 / $2,951.21	Facility		$758.58	$1,258.93	$2,951.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $457.09 / $1,479.11	Professional		$354.81	$457.09	$1,479.11
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $724.44 / $851.14	Professional		$478.63	$724.44	$851.14
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,445.44 / $50,118.72	Facility		$977.24	$1,445.44	$50,118.72
United Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $691.83 / $912.01	Facility		$457.09	$691.83	$912.01
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $457.09 / $1,148.15	Professional		$316.23	$457.09	$1,148.15
Univera Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $758.58 / $870.96	Facility		$645.65	$758.58	$870.96
Univera Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $724.44 / $870.96	Professional		$457.09	$724.44	$870.96