Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,584.89 / $2,511.89	Facility		$707.95	$1,584.89	$2,511.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $630.96 / $812.83	Professional		$457.09	$630.96	$812.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $851.14 / $1,621.81	Professional		$741.31	$851.14	$1,621.81
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Facility		$831.76	$831.76	$831.76
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $831.76 / $831.76	Professional		$616.60	$831.76	$831.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,778.28 / $2,187.76	Facility		$549.54	$1,778.28	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $4,073.80 / $4,073.80	Professional		$954.99	$4,073.80	$4,073.80
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,380.38 / $3,235.94	Facility		$831.76	$1,380.38	$3,235.94
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $501.19 / $1,621.81	Professional		$398.11	$501.19	$1,621.81
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $831.76 / $954.99	Professional		$524.81	$831.76	$954.99
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,584.89 / $50,118.72	Facility		$1,096.48	$1,584.89	$50,118.72
United Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $758.58 / $1,000.00	Facility		$501.19	$758.58	$1,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $501.19 / $1,258.93	Professional		$354.81	$501.19	$1,258.93
Univera Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $831.76 / $977.24	Facility		$501.19	$831.76	$977.24
Univera Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $831.76 / $977.24	Professional		$512.86	$831.76	$977.24