Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $1,000.00 / $1,584.89	Facility		$446.68	$1,000.00	$1,584.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $398.11 / $512.86	Professional		$288.40	$398.11	$512.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $501.19	Professional		$69.18	$69.18	$501.19
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Facility		$524.81	$524.81	$524.81
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $524.81 / $524.81	Professional		$380.19	$524.81	$524.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $1,122.02 / $1,348.96	Facility		$338.84	$1,122.02	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $2,511.89 / $2,511.89	Professional		$602.56	$2,511.89	$2,511.89
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $870.96 / $2,041.74	Facility		$524.81	$870.96	$2,041.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $316.23 / $1,023.29	Professional		$245.47	$316.23	$1,023.29
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $524.81 / $588.84	Professional		$331.13	$524.81	$588.84
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,000.00 / $50,118.72	Facility		$691.83	$1,000.00	$50,118.72
United Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $478.63 / $630.96	Facility		$316.23	$478.63	$630.96
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $316.23 / $794.33	Professional		$218.78	$316.23	$794.33
Univera Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $524.81 / $602.56	Facility		$316.23	$524.81	$602.56
Univera Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $524.81 / $602.56	Professional		$316.23	$524.81	$602.56