Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $4,365.16 / $10,964.78	Facility		$794.33	$4,365.16	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $575.44 / $1,513.56	Professional		$457.09	$575.44	$1,513.56
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 $380.19 / $489.78 / $1,348.96	Professional		$380.19	$489.78	$1,348.96
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,995.26 / $8,912.51	Facility		$724.44	$1,995.26	$8,912.51
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Professional		$724.44	$724.44	$724.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,862.09 / $50,118.72	Facility		$891.25	$1,862.09	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $870.96 / $2,290.87	Professional		$436.52	$870.96	$2,290.87
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $676.08 / $2,041.74	Facility		$562.34	$676.08	$2,041.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $758.58 / $1,071.52	Professional		$562.34	$758.58	$1,071.52
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $691.83 / $1,288.25	Professional		$416.87	$691.83	$1,288.25
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $50,118.72 / $75,857.76	Facility		$478.63	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $691.83 / $1,096.48	Professional		$398.11	$691.83	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $4,365.16 / $9,772.37	Facility		$2,137.96	$4,365.16	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $660.69 / $1,479.11	Professional		$457.09	$660.69	$1,479.11
Univera Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $562.34 / $1,513.56	Facility		$426.58	$562.34	$1,513.56
Univera Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $616.60 / $1,348.96	Professional		$416.87	$616.60	$1,348.96