Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $4,265.80 / $10,000.00	Facility		$691.83	$4,265.80	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $602.56 / $1,479.11	Professional		$489.78	$602.56	$1,479.11
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 $398.11 / $524.81 / $1,230.27	Professional		$398.11	$524.81	$1,230.27
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,995.26 / $8,912.51	Facility		$691.83	$1,995.26	$8,912.51
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 $831.76 / $1,862.09 / $50,118.72	Facility		$831.76	$1,862.09	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $870.96 / $2,398.83	Professional		$389.05	$870.96	$2,398.83
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $660.69 / $1,698.24	Facility		$489.78	$660.69	$1,698.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $676.08 / $912.01	Professional		$467.74	$676.08	$912.01
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $575.44 / $912.01	Professional		$338.84	$575.44	$912.01
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $50,118.72 / $75,857.76	Facility		$549.54	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $645.65 / $724.44	Professional		$398.11	$645.65	$724.44
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 $436.52 / $602.56 / $1,348.96	Professional		$436.52	$602.56	$1,348.96
Univera Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $616.60 / $1,819.70	Facility		$398.11	$616.60	$1,819.70
Univera Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $616.60 / $1,862.09	Professional		$338.84	$616.60	$1,862.09