Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $3,801.89 / $10,964.78	Facility		$660.69	$3,801.89	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $602.56 / $1,174.90	Professional		$478.63	$602.56	$1,174.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $11,220.18 / $19,054.61	Facility		$5,011.87	$11,220.18	$19,054.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $537.03 / $1,380.38	Professional		$407.38	$537.03	$1,380.38
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $37,153.52	Facility		$691.83	$691.83	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Professional		$691.83	$691.83	$691.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $831.76 / $50,118.72	Facility		$34.67	$831.76	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $851.14 / $2,238.72	Professional		$478.63	$851.14	$2,238.72
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $707.95 / $1,778.28	Facility		$489.78	$707.95	$1,778.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $691.83 / $954.99	Professional		$489.78	$691.83	$954.99
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $562.34 / $870.96	Professional		$380.19	$562.34	$870.96
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $50,118.72 / $75,857.76	Facility		$602.56	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $676.08 / $794.33	Professional		$537.03	$676.08	$794.33
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 $457.09 / $630.96 / $1,445.44	Professional		$457.09	$630.96	$1,445.44
Univera Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $602.56 / $870.96	Facility		$389.05	$602.56	$870.96
Univera Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $602.56 / $1,000.00	Professional		$380.19	$602.56	$1,000.00