Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $743.38 / $885.33 / $1,106.14	Facility		$743.38	$885.33	$1,106.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $802.22 / $1,019.91 / $2,756.46	Professional		$802.22	$1,019.91	$2,756.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,079.00 / $7,264.00 / $12,538.00	Facility		$4,079.00	$7,264.00	$12,538.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $517.28 / $676.19 / $1,552.07	Professional		$517.28	$676.19	$1,552.07
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $875.29 / $1,990.00 / $8,917.50	Facility		$875.29	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $875.29 / $875.29 / $875.29	Professional		$875.29	$875.29	$875.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,013.70 / $1,013.70 / $1,013.70	Professional		$1,013.70	$1,013.70	$1,013.70
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $891.00 / $1,660.91	Facility		$319.00	$891.00	$1,660.91
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $664.36 / $885.82 / $1,277.05	Professional		$664.36	$885.82	$1,277.05
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $476.88 / $634.96 / $1,061.79	Professional		$476.88	$634.96	$1,061.79
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $74,999.25	Facility		$555.00	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $685.26 / $950.41 / $1,883.87	Professional		$685.26	$950.41	$1,883.87
United Facility/Professional Professional Modifier Low / Median / High Price $624.05 / $833.50 / $1,980.87	Professional		$624.05	$833.50	$1,980.87
Univera Facility/Professional Facility Modifier Low / Median / High Price $778.79 / $778.79 / $2,637.67	Facility		$778.79	$778.79	$2,637.67
Univera Facility/Professional Professional Modifier Low / Median / High Price $476.88 / $778.79 / $1,556.07	Professional		$476.88	$778.79	$1,556.07