Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $4,677.35 / $10,964.78	Facility		$758.58	$4,677.35	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $630.96 / $1,513.56	Professional		$512.86	$630.96	$1,513.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $5,888.44 / $12,302.69	Facility		$3,388.44	$5,888.44	$12,302.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $660.69 / $1,445.44	Professional		$512.86	$660.69	$1,445.44
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $16,595.87	Facility		$741.31	$741.31	$16,595.87
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Professional		$741.31	$741.31	$741.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $851.14 / $53,703.18	Facility		$34.67	$851.14	$53,703.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $912.01 / $2,344.23	Professional		$501.19	$912.01	$2,344.23
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $812.83 / $1,862.09	Facility		$478.63	$812.83	$1,862.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $691.83 / $933.25	Professional		$537.03	$691.83	$933.25
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $691.83 / $977.24	Professional		$363.08	$691.83	$977.24
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $50,118.72 / $53,703.18 / $75,857.76	Facility		$50,118.72	$53,703.18	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $741.31 / $851.14	Professional		$575.44	$741.31	$851.14
United Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $5,128.61 / $11,481.54	Facility		$2,398.83	$5,128.61	$11,481.54
United Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $676.08 / $1,513.56	Professional		$478.63	$676.08	$1,513.56
Univera Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $676.08 / $891.25	Facility		$389.05	$676.08	$891.25
Univera Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $691.83 / $1,047.13	Professional		$363.08	$691.83	$1,047.13