Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $2,884.03 / $7,413.10	Facility		$524.81	$2,884.03	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $457.09 / $1,174.90	Professional		$346.74	$457.09	$1,174.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $7,762.47 / $13,803.84	Facility		$4,073.80	$7,762.47	$13,803.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $446.68 / $1,096.48	Professional		$346.74	$446.68	$1,096.48
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,258.93 / $4,073.80	Facility		$501.19	$1,258.93	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $616.60	Professional		$501.19	$501.19	$616.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,318.26 / $50,118.72	Facility		$602.56	$1,318.26	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $707.95 / $1,584.89	Professional		$371.54	$707.95	$1,584.89
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $389.05 / $1,122.02	Facility		$275.42	$389.05	$1,122.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $630.96 / $912.01	Professional		$467.74	$630.96	$912.01
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $630.96 / $912.01	Professional		$346.74	$630.96	$912.01
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $50,118.72 / $75,857.76	Facility		$389.05	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $575.44 / $933.25	Professional		$398.11	$575.44	$933.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $4,365.16 / $10,964.78	Facility		$2,137.96	$4,365.16	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $446.68 / $1,148.15	Professional		$295.12	$446.68	$1,148.15
Univera Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $457.09 / $1,230.27	Facility		$281.84	$457.09	$1,230.27
Univera Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $562.34 / $1,000.00	Professional		$346.74	$562.34	$1,000.00