Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $3,090.30 / $7,762.47	Facility		$467.74	$3,090.30	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $416.87 / $1,000.00	Professional		$251.19	$416.87	$1,000.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,630.78 / $5,011.87	Facility		$1,819.70	$3,630.78	$5,011.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $407.38 / $1,071.52	Professional		$309.03	$407.38	$1,071.52
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $1,698.24 / $6,165.95	Facility		$416.87	$1,698.24	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $724.44	Professional		$416.87	$416.87	$724.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,659.59 / $50,118.72	Facility		$512.86	$1,659.59	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $537.03 / $1,174.90	Professional		$251.19	$537.03	$1,174.90
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $363.08 / $933.25	Facility		$229.09	$363.08	$933.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $776.25 / $1,258.93	Professional		$645.65	$776.25	$1,258.93
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $537.03 / $933.25	Professional		$346.74	$537.03	$933.25
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $50,118.72 / $75,857.76	Facility		$389.05	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $575.44 / $741.31	Professional		$398.11	$575.44	$741.31
United Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $2,754.23 / $4,897.79	Facility		$954.99	$2,754.23	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $389.05 / $851.14	Professional		$208.93	$389.05	$851.14
Univera Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $323.59 / $954.99	Facility		$245.47	$323.59	$954.99
Univera Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $575.44 / $1,174.90	Professional		$323.59	$575.44	$1,174.90