Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $3,981.07 / $10,715.19	Facility		$794.33	$3,981.07	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $645.65 / $1,737.80	Professional		$501.19	$645.65	$1,737.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $9,772.37 / $18,620.87	Facility		$4,570.88	$9,772.37	$18,620.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $562.34 / $1,380.38	Professional		$446.68	$562.34	$1,380.38
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $2,398.83 / $10,964.78	Facility		$758.58	$2,398.83	$10,964.78
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Professional		$758.58	$758.58	$758.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $2,290.87 / $50,118.72	Facility		$933.25	$2,290.87	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $977.24 / $2,398.83	Professional		$436.52	$977.24	$2,398.83
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $707.95 / $1,778.28	Facility		$537.03	$707.95	$1,778.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $645.65 / $933.25	Professional		$489.78	$645.65	$933.25
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $707.95 / $1,348.96	Professional		$467.74	$707.95	$1,348.96
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $50,118.72 / $75,857.76	Facility		$575.44	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $758.58 / $1,445.44	Professional		$645.65	$758.58	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $5,128.61 / $12,882.50	Facility		$2,398.83	$5,128.61	$12,882.50
United Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $602.56 / $1,621.81	Professional		$426.58	$602.56	$1,621.81
Univera Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $588.84 / $1,778.28	Facility		$446.68	$588.84	$1,778.28
Univera Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $660.69 / $1,380.38	Professional		$446.68	$660.69	$1,380.38