Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $3,162.28 / $10,964.78	Facility		$794.33	$3,162.28	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $691.83 / $1,584.89	Professional		$575.44	$691.83	$1,584.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $7,762.47 / $13,803.84	Facility		$3,890.45	$7,762.47	$13,803.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $575.44 / $1,174.90	Professional		$489.78	$575.44	$1,174.90
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $37,153.52	Facility		$870.96	$870.96	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Professional		$870.96	$870.96	$870.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,071.52 / $7,762.47	Facility		$34.67	$1,071.52	$7,762.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $912.01 / $2,187.76	Professional		$537.03	$912.01	$2,187.76
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,122.02 / $2,137.96	Facility		$645.65	$1,122.02	$2,137.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $794.33 / $1,258.93	Professional		$630.96	$794.33	$1,258.93
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Facility		$588.84	$588.84	$588.84
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $812.83 / $1,318.26	Professional		$524.81	$812.83	$1,318.26
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $50,118.72 / $75,857.76	Facility		$645.65	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $812.83 / $1,412.54	Professional		$398.11	$812.83	$1,412.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $4,073.80 / $9,120.11	Facility		$1,412.54	$4,073.80	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $676.08 / $1,513.56	Professional		$467.74	$676.08	$1,513.56
Univera Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $758.58 / $2,570.40	Facility		$512.86	$758.58	$2,570.40
Univera Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $758.58 / $1,698.24	Professional		$512.86	$758.58	$1,698.24