Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,288.25 / $2,041.74	Facility		$575.44	$1,288.25	$2,041.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $537.03 / $758.58	Professional		$407.38	$537.03	$758.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $1,778.28	Facility		$676.08	$676.08	$1,778.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $776.25	Professional		$181.97	$181.97	$776.25
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Facility		$676.08	$676.08	$676.08
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $676.08 / $676.08	Professional		$489.78	$676.08	$676.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,445.44 / $1,737.80	Facility		$436.52	$1,445.44	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $977.24 / $3,235.94	Professional		$676.08	$977.24	$3,235.94
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,122.02 / $2,570.40	Facility		$676.08	$1,122.02	$2,570.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $912.01 / $1,318.26	Professional		$707.95	$912.01	$1,318.26
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $660.69 / $1,202.26	Professional		$537.03	$660.69	$1,202.26
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,288.25 / $50,118.72	Facility		$870.96	$1,288.25	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $691.83	Professional		$676.08	$676.08	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $676.08 / $812.83	Facility		$602.56	$676.08	$812.83
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $407.38 / $891.25	Professional		$281.84	$407.38	$891.25
Univera Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $676.08 / $776.25	Facility		$407.38	$676.08	$776.25
Univera Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $676.08 / $1,348.96	Professional		$537.03	$676.08	$1,348.96