Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $3,801.89 / $8,511.38	Facility		$645.65	$3,801.89	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $537.03 / $1,318.26	Professional		$407.38	$537.03	$1,318.26
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 $316.23 / $407.38 / $1,148.15	Professional		$316.23	$407.38	$1,148.15
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,698.24 / $6,165.95	Facility		$676.08	$1,698.24	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Professional		$676.08	$676.08	$676.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,659.59 / $50,118.72	Facility		$776.25	$1,659.59	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $758.58 / $1,995.26	Professional		$371.54	$758.58	$1,995.26
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $549.54 / $1,698.24	Facility		$416.87	$549.54	$1,698.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $630.96 / $912.01	Professional		$467.74	$630.96	$912.01
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $616.60 / $1,023.29	Professional		$363.08	$616.60	$1,023.29
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 / $588.84 / $977.24	Professional		$398.11	$588.84	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $4,365.16 / $10,964.78	Facility		$2,137.96	$4,365.16	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $512.86 / $1,288.25	Professional		$354.81	$512.86	$1,288.25
Univera Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $512.86 / $1,348.96	Facility		$389.05	$512.86	$1,348.96
Univera Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $575.44 / $1,288.25	Professional		$371.54	$575.44	$1,288.25