Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,778.28 / $2,884.03	Facility		$812.83	$1,778.28	$2,884.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $724.44 / $912.01	Professional		$512.86	$724.44	$912.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $2,454.71	Facility		$954.99	$954.99	$2,454.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $1,071.52	Professional		$338.84	$338.84	$1,071.52
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Facility		$954.99	$954.99	$954.99
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $954.99 / $954.99	Professional		$691.83	$954.99	$954.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $2,041.74 / $2,454.71	Facility		$630.96	$2,041.74	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $4,570.88 / $4,570.88	Professional		$1,096.48	$4,570.88	$4,570.88
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,584.89 / $3,630.78	Facility		$954.99	$1,584.89	$3,630.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $575.44 / $1,862.09	Professional		$446.68	$575.44	$1,862.09
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $954.99 / $1,071.52	Professional		$588.84	$954.99	$1,071.52
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,778.28 / $50,118.72	Facility		$1,230.27	$1,778.28	$50,118.72
United Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $851.14 / $1,148.15	Facility		$575.44	$851.14	$1,148.15
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $575.44 / $1,412.54	Professional		$398.11	$575.44	$1,412.54
Univera Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $954.99 / $1,096.48	Facility		$575.44	$954.99	$1,096.48
Univera Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $954.99 / $1,096.48	Professional		$575.44	$954.99	$1,096.48