Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,412.54 / $2,238.72	Facility		$630.96	$1,412.54	$2,238.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $602.56 / $831.76	Professional		$446.68	$602.56	$831.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $1,023.29	Professional		$338.84	$338.84	$1,023.29
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 / $1,584.89 / $1,949.84	Facility		$489.78	$1,584.89	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $3,630.78 / $3,630.78	Professional		$758.58	$3,630.78	$3,630.78
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,230.27 / $2,884.03	Facility		$758.58	$1,230.27	$2,884.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,023.29 / $1,445.44	Professional		$794.33	$1,023.29	$1,445.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $741.31 / $1,348.96	Professional		$616.60	$741.31	$1,348.96
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,412.54 / $50,118.72	Facility		$977.24	$1,412.54	$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 / $891.25	Facility		$676.08	$758.58	$891.25
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $446.68 / $1,000.00	Professional		$316.23	$446.68	$1,000.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $758.58 / $870.96	Facility		$446.68	$758.58	$870.96
Univera Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $758.58 / $1,479.11	Professional		$616.60	$758.58	$1,479.11