Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $4,168.69 / $10,964.78	Facility		$707.95	$4,168.69	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $602.56 / $1,380.38	Professional		$467.74	$602.56	$1,380.38
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 $389.05 / $512.86 / $1,258.93	Professional		$389.05	$512.86	$1,258.93
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $2,398.83 / $10,964.78	Facility		$676.08	$2,398.83	$10,964.78
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Professional		$676.08	$676.08	$676.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $2,290.87 / $50,118.72	Facility		$812.83	$2,290.87	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $851.14 / $2,238.72	Professional		$407.38	$851.14	$2,238.72
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $870.96 / $1,862.09	Facility		$512.86	$870.96	$1,862.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $724.44 / $1,000.00	Professional		$524.81	$724.44	$1,000.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $457.09 / $891.25	Professional		$331.13	$457.09	$891.25
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $50,118.72 / $75,857.76	Facility		$489.78	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $616.60 / $758.58	Professional		$398.11	$616.60	$758.58
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 $457.09 / $630.96 / $1,412.54	Professional		$457.09	$630.96	$1,412.54
Univera Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $602.56 / $1,698.24	Facility		$389.05	$602.56	$1,698.24
Univera Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $588.84 / $1,819.70	Professional		$331.13	$588.84	$1,819.70