Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $3,388.44 / $10,232.93	Facility		$630.96	$3,388.44	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $524.81 / $1,380.38	Professional		$436.52	$524.81	$1,380.38
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 $380.19 / $501.19 / $1,288.25	Professional		$380.19	$501.19	$1,288.25
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,995.26 / $8,912.51	Facility		$724.44	$1,995.26	$8,912.51
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $812.83	Professional		$724.44	$724.44	$812.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,862.09 / $50,118.72	Facility		$851.14	$1,862.09	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $691.83 / $1,513.56	Professional		$371.54	$691.83	$1,513.56
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $562.34 / $1,513.56	Facility		$363.08	$562.34	$1,513.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $812.83 / $1,318.26	Professional		$691.83	$812.83	$1,318.26
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $630.96 / $1,071.52	Professional		$426.58	$630.96	$1,071.52
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $50,118.72 / $75,857.76	Facility		$478.63	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $676.08 / $831.76	Professional		$398.11	$676.08	$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 $316.23 / $562.34 / $1,174.90	Professional		$316.23	$562.34	$1,174.90
Univera Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $562.34 / $1,513.56	Facility		$371.54	$562.34	$1,513.56
Univera Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $676.08 / $1,548.82	Professional		$426.58	$676.08	$1,548.82