Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $5,623.41 / $11,481.54	Facility		$2,238.72	$5,623.41	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $363.08 / $436.52	Professional		$288.40	$363.08	$436.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $11,220.18 / $19,054.61	Facility		$5,011.87	$11,220.18	$19,054.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $501.19 / $891.25	Professional		$398.11	$501.19	$891.25
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $15,135.61	Facility		$436.52	$436.52	$15,135.61
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Professional		$436.52	$436.52	$436.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $53,703.18	Facility		$724.44	$724.44	$53,703.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $2,041.74 / $2,041.74	Professional		$416.87	$2,041.74	$2,041.74
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $758.58 / $1,659.59	Facility		$436.52	$758.58	$1,659.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $524.81 / $870.96	Professional		$309.03	$524.81	$870.96
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $562.34 / $794.33	Professional		$354.81	$562.34	$794.33
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $50,118.72 / $53,703.18 / $75,857.76	Facility		$50,118.72	$53,703.18	$75,857.76
United Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $8,128.31 / $20,417.38	Facility		$2,818.38	$8,128.31	$20,417.38
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $446.68 / $954.99	Professional		$309.03	$446.68	$954.99
Univera Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Facility		$371.54	$371.54	$371.54
Univera Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $371.54 / $831.76	Professional		$354.81	$371.54	$831.76