Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $3,162.28 / $10,964.78	Facility		$645.65	$3,162.28	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $588.84 / $1,445.44	Professional		$457.09	$588.84	$1,445.44
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 $389.05 / $512.86 / $1,380.38	Professional		$389.05	$512.86	$1,380.38
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $37,153.52	Facility		$660.69	$660.69	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Professional		$660.69	$660.69	$660.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $794.33 / $50,118.72	Facility		$34.67	$794.33	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $851.14 / $2,137.96	Professional		$467.74	$851.14	$2,137.96
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $676.08 / $1,698.24	Facility		$489.78	$676.08	$1,698.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $660.69 / $912.01	Professional		$467.74	$660.69	$912.01
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $537.03 / $851.14	Professional		$316.23	$537.03	$851.14
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $50,118.72 / $75,857.76	Facility		$501.19	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $660.69 / $758.58	Professional		$512.86	$660.69	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $4,168.69 / $9,332.54	Facility		$1,513.56	$4,168.69	$9,332.54
United Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $616.60 / $1,412.54	Professional		$436.52	$616.60	$1,412.54
Univera Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $575.44 / $870.96	Facility		$371.54	$575.44	$870.96
Univera Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $575.44 / $954.99	Professional		$363.08	$575.44	$954.99