Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $3,715.35 / $9,120.11	Facility		$549.54	$3,715.35	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $467.74 / $1,258.93	Professional		$363.08	$467.74	$1,258.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,786.30 / $10,232.93	Facility		$2,630.27	$4,786.30	$10,232.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $380.19 / $1,000.00	Professional		$295.12	$380.19	$1,000.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,698.24 / $6,165.95	Facility		$549.54	$1,698.24	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Professional		$549.54	$549.54	$549.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,659.59 / $50,118.72	Facility		$676.08	$1,659.59	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $691.83 / $1,778.28	Professional		$371.54	$691.83	$1,778.28
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $426.58 / $954.99	Facility		$213.80	$426.58	$954.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $512.86 / $724.44	Professional		$380.19	$512.86	$724.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $575.44 / $831.76	Professional		$309.03	$575.44	$831.76
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $50,118.72 / $75,857.76	Facility		$436.52	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $524.81 / $851.14	Professional		$398.11	$524.81	$851.14
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 $309.03 / $436.52 / $1,174.90	Professional		$309.03	$436.52	$1,174.90
Univera Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $512.86 / $1,318.26	Facility		$323.59	$512.86	$1,318.26
Univera Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $512.86 / $1,000.00	Professional		$316.23	$512.86	$1,000.00