Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $3,162.28 / $10,964.78	Facility		$549.54	$3,162.28	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $489.78 / $1,258.93	Professional		$398.11	$489.78	$1,258.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $5,370.32 / $12,302.69	Facility		$2,884.03	$5,370.32	$12,302.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $426.58 / $1,122.02	Professional		$331.13	$426.58	$1,122.02
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $37,153.52	Facility		$562.34	$562.34	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Professional		$562.34	$562.34	$562.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $691.83 / $50,118.72	Facility		$34.67	$691.83	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $776.25 / $2,089.30	Professional		$416.87	$776.25	$2,089.30
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $758.58 / $1,445.44	Facility		$446.68	$758.58	$1,445.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $562.34 / $776.25	Professional		$407.38	$562.34	$776.25
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $457.09 / $724.44	Professional		$295.12	$457.09	$724.44
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $50,118.72 / $75,857.76	Facility		$537.03	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $537.03 / $676.08	Professional		$398.11	$537.03	$676.08
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 $380.19 / $537.03 / $1,202.26	Professional		$380.19	$537.03	$1,202.26
Univera Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $501.19 / $1,698.24	Facility		$316.23	$501.19	$1,698.24
Univera Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $501.19 / $1,479.11	Professional		$295.12	$501.19	$1,479.11