Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $2,754.23 / $7,762.47	Facility		$549.54	$2,754.23	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $575.44 / $1,288.25	Professional		$363.08	$575.44	$1,288.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $5,888.44 / $12,302.69	Facility		$3,388.44	$5,888.44	$12,302.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $602.56 / $1,513.56	Professional		$478.63	$602.56	$1,513.56
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,258.93 / $4,073.80	Facility		$562.34	$1,258.93	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $891.25	Professional		$562.34	$562.34	$891.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $50,118.72	Facility		$676.08	$676.08	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $741.31 / $1,995.26	Professional		$416.87	$741.31	$1,995.26
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $575.44 / $1,513.56	Facility		$426.58	$575.44	$1,513.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,071.52 / $1,548.82	Professional		$776.25	$1,071.52	$1,548.82
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Facility		$575.44	$575.44	$575.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $794.33 / $1,288.25	Professional		$426.58	$794.33	$1,288.25
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 / $812.83 / $1,659.59	Professional		$398.11	$812.83	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $4,365.16 / $9,549.93	Facility		$2,041.74	$4,365.16	$9,549.93
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $602.56 / $1,513.56	Professional		$354.81	$602.56	$1,513.56
Univera Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $478.63 / $1,548.82	Facility		$331.13	$478.63	$1,548.82
Univera Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $758.58 / $1,288.25	Professional		$478.63	$758.58	$1,288.25