Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,445.44 / $2,344.23	Facility		$660.69	$1,445.44	$2,344.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $588.84 / $741.31	Professional		$416.87	$588.84	$741.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $309.03 / $776.25	Professional		$89.13	$309.03	$776.25
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Facility		$776.25	$776.25	$776.25
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $776.25 / $776.25	Professional		$562.34	$776.25	$776.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,659.59 / $1,995.26	Facility		$501.19	$1,659.59	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $3,715.35 / $3,715.35	Professional		$891.25	$3,715.35	$3,715.35
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,288.25 / $2,951.21	Facility		$776.25	$1,288.25	$2,951.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $467.74 / $1,513.56	Professional		$363.08	$467.74	$1,513.56
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $776.25 / $870.96	Professional		$478.63	$776.25	$870.96
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,445.44 / $50,118.72	Facility		$1,000.00	$1,445.44	$50,118.72
United Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $691.83 / $933.25	Facility		$467.74	$691.83	$933.25
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $467.74 / $1,148.15	Professional		$323.59	$467.74	$1,148.15
Univera Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $776.25 / $891.25	Facility		$467.74	$776.25	$891.25
Univera Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $776.25 / $891.25	Professional		$467.74	$776.25	$891.25