Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $3,311.31 / $9,772.37	Facility		$724.44	$3,311.31	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $691.83 / $1,621.81	Professional		$501.19	$691.83	$1,621.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $7,762.47 / $13,803.84	Facility		$4,073.80	$7,762.47	$13,803.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $630.96 / $1,778.28	Professional		$501.19	$630.96	$1,778.28
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 / $912.01	Professional		$724.44	$724.44	$912.01
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 $489.78 / $1,047.13 / $2,344.23	Professional		$489.78	$1,047.13	$2,344.23
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $588.84 / $1,819.70	Facility		$478.63	$588.84	$1,819.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $912.01 / $1,318.26	Professional		$691.83	$912.01	$1,318.26
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $831.76 / $1,348.96	Professional		$575.44	$831.76	$1,348.96
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $50,118.72 / $75,857.76	Facility		$537.03	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $851.14 / $1,380.38	Professional		$398.11	$851.14	$1,380.38
United Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $5,888.44 / $13,803.84	Facility		$2,398.83	$5,888.44	$13,803.84
United Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $660.69 / $1,737.80	Professional		$426.58	$660.69	$1,737.80
Univera Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $562.34 / $1,698.24	Facility		$416.87	$562.34	$1,698.24
Univera Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $776.25 / $1,659.59	Professional		$524.81	$776.25	$1,659.59