Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $4,365.16 / $10,964.78	Facility		$645.65	$4,365.16	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $524.81 / $1,258.93	Professional		$416.87	$524.81	$1,258.93
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 / $489.78 / $1,174.90	Professional		$380.19	$489.78	$1,174.90
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,995.26 / $8,912.51	Facility		$660.69	$1,995.26	$8,912.51
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Professional		$660.69	$660.69	$660.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $50,118.72	Facility		$812.83	$812.83	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $691.83 / $1,905.46	Professional		$467.74	$691.83	$1,905.46
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $549.54 / $1,348.96	Facility		$338.84	$549.54	$1,348.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $724.44 / $1,071.52	Professional		$537.03	$724.44	$1,071.52
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Facility		$446.68	$446.68	$446.68
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $630.96 / $1,000.00	Professional		$380.19	$630.96	$1,000.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $50,118.72 / $75,857.76	Facility		$457.09	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $630.96 / $1,288.25	Professional		$398.11	$630.96	$1,288.25
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 $398.11 / $575.44 / $1,445.44	Professional		$398.11	$575.44	$1,445.44
Univera Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $575.44 / $1,995.26	Facility		$389.05	$575.44	$1,995.26
Univera Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $602.56 / $1,318.26	Professional		$380.19	$602.56	$1,318.26