Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $3,090.30 / $9,120.11	Facility		$489.78	$3,090.30	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $467.74 / $1,148.15	Professional		$302.00	$467.74	$1,148.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $5,888.44 / $12,302.69	Facility		$3,388.44	$5,888.44	$12,302.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $549.54 / $1,174.90	Professional		$446.68	$549.54	$1,174.90
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,698.24 / $6,165.95	Facility		$489.78	$1,698.24	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $776.25	Professional		$489.78	$489.78	$776.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,659.59 / $50,118.72	Facility		$602.56	$1,659.59	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $616.60 / $1,318.26	Professional		$288.40	$616.60	$1,318.26
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $407.38 / $1,023.29	Facility		$251.19	$407.38	$1,023.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $831.76 / $1,348.96	Professional		$691.83	$831.76	$1,348.96
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $588.84 / $1,000.00	Professional		$389.05	$588.84	$1,000.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $50,118.72 / $75,857.76	Facility		$331.13	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $616.60 / $812.83	Professional		$398.11	$616.60	$812.83
United Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $4,365.16 / $9,549.93	Facility		$2,041.74	$4,365.16	$9,549.93
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $446.68 / $977.24	Professional		$234.42	$446.68	$977.24
Univera Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $380.19 / $1,047.13	Facility		$281.84	$380.19	$1,047.13
Univera Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $630.96 / $1,148.15	Professional		$389.05	$630.96	$1,148.15