Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $3,630.78 / $10,964.78	Facility		$776.25	$3,630.78	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $660.69 / $1,380.38	Professional		$549.54	$660.69	$1,380.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $5,888.44 / $12,302.69	Facility		$3,311.31	$5,888.44	$12,302.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $575.44 / $1,148.15	Professional		$489.78	$575.44	$1,148.15
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 / $1,047.13 / $7,762.47	Facility		$34.67	$1,047.13	$7,762.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $912.01 / $2,238.72	Professional		$537.03	$912.01	$2,238.72
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $912.01 / $2,290.87	Facility		$724.44	$912.01	$2,290.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $870.96 / $1,380.38	Professional		$676.08	$870.96	$1,380.38
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Facility		$575.44	$575.44	$575.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $812.83 / $1,288.25	Professional		$489.78	$812.83	$1,288.25
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $50,118.72 / $75,857.76	Facility		$616.60	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $812.83 / $1,445.44	Professional		$398.11	$812.83	$1,445.44
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 $489.78 / $676.08 / $1,548.82	Professional		$489.78	$676.08	$1,548.82
Univera Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $724.44 / $2,570.40	Facility		$489.78	$724.44	$2,570.40
Univera Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $724.44 / $1,548.82	Professional		$489.78	$724.44	$1,548.82