Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $3,715.35 / $9,120.11	Facility		$691.83	$3,715.35	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $524.81 / $1,318.26	Professional		$426.58	$524.81	$1,318.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $11,481.54 / $18,620.87	Facility		$4,786.30	$11,481.54	$18,620.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $446.68 / $1,148.15	Professional		$354.81	$446.68	$1,148.15
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,698.24 / $6,165.95	Facility		$691.83	$1,698.24	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Professional		$691.83	$691.83	$691.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $50,118.72	Facility		$831.76	$831.76	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $691.83 / $1,995.26	Professional		$478.63	$691.83	$1,995.26
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $676.08 / $1,949.84	Facility		$537.03	$676.08	$1,949.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $794.33 / $1,148.15	Professional		$575.44	$794.33	$1,148.15
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Facility		$467.74	$467.74	$467.74
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $660.69 / $1,071.52	Professional		$363.08	$660.69	$1,071.52
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $50,118.72 / $75,857.76	Facility		$446.68	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $630.96 / $1,380.38	Professional		$398.11	$630.96	$1,380.38
United Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $4,365.16 / $11,220.18	Facility		$2,041.74	$4,365.16	$11,220.18
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $575.44 / $1,445.44	Professional		$407.38	$575.44	$1,445.44
Univera Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $602.56 / $1,995.26	Facility		$407.38	$602.56	$1,995.26
Univera Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $602.56 / $1,348.96	Professional		$398.11	$602.56	$1,348.96