Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $3,311.31 / $7,762.47	Facility		$575.44	$3,311.31	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $478.63 / $1,174.90	Professional		$302.00	$478.63	$1,174.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,786.30 / $10,232.93	Facility		$2,630.27	$4,786.30	$10,232.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $524.81 / $1,202.26	Professional		$416.87	$524.81	$1,202.26
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 $302.00 / $645.65 / $1,318.26	Professional		$302.00	$645.65	$1,318.26
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $426.58 / $1,096.48	Facility		$275.42	$426.58	$1,096.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $870.96 / $1,412.54	Professional		$724.44	$870.96	$1,412.54
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $588.84 / $1,000.00	Professional		$380.19	$588.84	$1,000.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $50,118.72 / $75,857.76	Facility		$346.74	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $645.65 / $831.76	Professional		$398.11	$645.65	$831.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,981.07 / $8,317.64	Facility		$1,819.70	$3,981.07	$8,317.64
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $446.68 / $1,000.00	Professional		$245.47	$446.68	$1,000.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $371.54 / $1,122.02	Facility		$281.84	$371.54	$1,122.02
Univera Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $630.96 / $1,288.25	Professional		$380.19	$630.96	$1,288.25