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 $457.09 / $602.56 / $851.14	Professional		$457.09	$602.56	$851.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $1,995.26	Facility		$758.58	$758.58	$1,995.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $1,148.15	Professional		$107.15	$107.15	$1,148.15
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 $489.78 / $1,621.81 / $1,949.84	Facility		$489.78	$1,621.81	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,096.48 / $3,630.78	Professional		$758.58	$1,096.48	$3,630.78
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,258.93 / $2,884.03	Facility		$758.58	$1,258.93	$2,884.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,023.29 / $1,479.11	Professional		$794.33	$1,023.29	$1,479.11
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $741.31 / $1,348.96	Professional		$645.65	$741.31	$1,348.96
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
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $776.25	Professional		$758.58	$758.58	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $758.58 / $912.01	Facility		$676.08	$758.58	$912.01
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $457.09 / $1,000.00	Professional		$316.23	$457.09	$1,000.00
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 $512.86 / $758.58 / $1,513.56	Professional		$512.86	$758.58	$1,513.56