Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $3,162.28 / $8,128.31	Facility		$630.96	$3,162.28	$8,128.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $537.03 / $1,288.25	Professional		$354.81	$537.03	$1,288.25
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 $457.09 / $588.84 / $1,318.26	Professional		$457.09	$588.84	$1,318.26
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,698.24 / $6,165.95	Facility		$588.84	$1,698.24	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $870.96	Professional		$588.84	$588.84	$870.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,659.59 / $50,118.72	Facility		$707.95	$1,659.59	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $707.95 / $1,548.82	Professional		$389.05	$707.95	$1,548.82
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $512.86 / $1,380.38	Facility		$338.84	$512.86	$1,380.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $912.01 / $1,479.11	Professional		$776.25	$912.01	$1,479.11
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $645.65 / $1,122.02	Professional		$436.52	$645.65	$1,122.02
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $50,118.72 / $75,857.76	Facility		$436.52	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $724.44 / $933.25	Professional		$398.11	$724.44	$933.25
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 $295.12 / $537.03 / $1,148.15	Professional		$295.12	$537.03	$1,148.15
Univera Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $446.68 / $1,412.54	Facility		$309.03	$446.68	$1,412.54
Univera Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $691.83 / $1,348.96	Professional		$436.52	$691.83	$1,348.96