Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,096.48 / $1,778.28	Facility		$501.19	$1,096.48	$1,778.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $467.74 / $616.60	Professional		$346.74	$467.74	$616.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $1,513.56	Facility		$588.84	$588.84	$1,513.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $831.76	Professional		$288.40	$288.40	$831.76
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Facility		$588.84	$588.84	$588.84
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $588.84 / $588.84	Professional		$426.58	$588.84	$588.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $1,258.93 / $1,513.56	Facility		$380.19	$1,258.93	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $851.14 / $2,818.38	Professional		$588.84	$851.14	$2,818.38
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $954.99 / $2,238.72	Facility		$588.84	$954.99	$2,238.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $794.33 / $1,122.02	Professional		$616.60	$794.33	$1,122.02
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $575.44 / $1,047.13	Professional		$467.74	$575.44	$1,047.13
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,096.48 / $50,118.72	Facility		$758.58	$1,096.48	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $602.56	Professional		$588.84	$588.84	$602.56
United Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $588.84 / $707.95	Facility		$524.81	$588.84	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $354.81 / $794.33	Professional		$245.47	$354.81	$794.33
Univera Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $588.84 / $676.08	Facility		$354.81	$588.84	$676.08
Univera Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $588.84 / $1,148.15	Professional		$467.74	$588.84	$1,148.15