Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $3,090.30 / $7,762.47	Facility		$524.81	$3,090.30	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $549.54 / $1,148.15	Professional		$331.13	$549.54	$1,148.15
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 $457.09 / $562.34 / $1,445.44	Professional		$457.09	$562.34	$1,445.44
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,698.24 / $6,165.95	Facility		$489.78	$1,698.24	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $851.14	Professional		$489.78	$489.78	$851.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $50,118.72	Facility		$602.56	$602.56	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $707.95 / $1,905.46	Professional		$371.54	$707.95	$1,905.46
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $436.52 / $1,288.25	Facility		$323.59	$436.52	$1,288.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,023.29 / $1,479.11	Professional		$741.31	$1,023.29	$1,479.11
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $758.58 / $1,230.27	Professional		$467.74	$758.58	$1,230.27
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $50,118.72 / $75,857.76	Facility		$323.59	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $776.25 / $1,621.81	Professional		$398.11	$776.25	$1,621.81
United Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $4,265.80 / $9,549.93	Facility		$2,041.74	$4,265.80	$9,549.93
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $562.34 / $1,445.44	Professional		$323.59	$562.34	$1,445.44
Univera Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $426.58 / $1,412.54	Facility		$295.12	$426.58	$1,412.54
Univera Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $707.95 / $1,230.27	Professional		$478.63	$707.95	$1,230.27