Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $3,162.28 / $10,964.78	Facility		$398.11	$3,162.28	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $338.84 / $1,000.00	Professional		$263.03	$338.84	$1,000.00
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 $223.87 / $295.12 / $794.33	Professional		$223.87	$295.12	$794.33
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $37,153.52	Facility		$380.19	$380.19	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Professional		$380.19	$380.19	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $457.09 / $50,118.72	Facility		$34.67	$457.09	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $512.86 / $1,258.93	Professional		$275.42	$512.86	$1,258.93
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $389.05 / $977.24	Facility		$288.40	$389.05	$977.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $380.19 / $524.81	Professional		$275.42	$380.19	$524.81
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $309.03 / $489.78	Professional		$234.42	$309.03	$489.78
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $50,118.72 / $75,857.76	Facility		$436.52	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $380.19 / $436.52	Professional		$295.12	$380.19	$436.52
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 $251.19 / $354.81 / $812.83	Professional		$251.19	$354.81	$812.83
Univera Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $331.13 / $512.86	Facility		$213.80	$331.13	$512.86
Univera Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $331.13 / $549.54	Professional		$213.80	$331.13	$549.54