Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $1,071.52 / $1,819.70	Facility		$467.74	$1,071.52	$1,819.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $446.68 / $575.44	Professional		$181.97	$446.68	$575.44
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 $181.97 / $181.97 / $691.83	Professional		$181.97	$181.97	$691.83
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 / $776.25 / $1,071.52	Facility		$389.05	$776.25	$1,071.52
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 / $891.25 / $2,290.87	Facility		$602.56	$891.25	$2,290.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $812.83 / $1,174.90	Professional		$630.96	$812.83	$1,174.90
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $575.44 / $1,071.52	Professional		$269.15	$575.44	$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 / $602.56	Professional		$602.56	$602.56	$602.56
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 $125.89 / $181.97 / $457.09	Professional		$125.89	$181.97	$457.09
Univera Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $602.56 / $691.83	Facility		$363.08	$602.56	$691.83
Univera Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $588.84 / $1,174.90	Professional		$331.13	$588.84	$1,174.90