Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $3,801.89 / $10,964.78	Facility		$870.96	$3,801.89	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $794.33 / $1,905.46	Professional		$630.96	$794.33	$1,905.46
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 $407.38 / $524.81 / $1,737.80	Professional		$407.38	$524.81	$1,737.80
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $37,153.52	Facility		$912.01	$912.01	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Professional		$912.01	$912.01	$912.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $4,786.30 / $50,118.72	Facility		$34.67	$4,786.30	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,174.90 / $3,162.28	Professional		$645.65	$1,174.90	$3,162.28
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,258.93 / $2,511.89	Facility		$776.25	$1,258.93	$2,511.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $954.99 / $1,318.26	Professional		$691.83	$954.99	$1,318.26
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $741.31 / $1,174.90	Professional		$446.68	$741.31	$1,174.90
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $50,118.72 / $75,857.76	Facility		$724.44	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $891.25 / $1,047.13	Professional		$707.95	$891.25	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $4,677.35 / $27,542.29	Facility		$2,089.30	$4,677.35	$27,542.29
United Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $831.76 / $1,905.46	Professional		$602.56	$831.76	$1,905.46
Univera Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $812.83 / $2,187.76	Facility		$512.86	$812.83	$2,187.76
Univera Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $812.83 / $1,995.26	Professional		$446.68	$812.83	$1,995.26