Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $4,677.35 / $11,748.98	Facility		$758.58	$4,677.35	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $630.96 / $1,698.24	Professional		$489.78	$630.96	$1,698.24
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 $398.11 / $512.86 / $1,348.96	Professional		$398.11	$512.86	$1,348.96
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $2,398.83 / $10,964.78	Facility		$758.58	$2,398.83	$10,964.78
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Professional		$758.58	$758.58	$758.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $2,290.87 / $50,118.72	Facility		$912.01	$2,290.87	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $870.96 / $2,398.83	Professional		$457.09	$870.96	$2,398.83
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $630.96 / $1,862.09	Facility		$524.81	$630.96	$1,862.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $676.08 / $977.24	Professional		$512.86	$676.08	$977.24
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $724.44 / $1,122.02	Professional		$446.68	$724.44	$1,122.02
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $50,118.72 / $75,857.76	Facility		$588.84	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $707.95 / $1,148.15	Professional		$398.11	$707.95	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $5,128.61 / $12,302.69	Facility		$2,398.83	$5,128.61	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $588.84 / $1,584.89	Professional		$380.19	$588.84	$1,584.89
Univera Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $707.95 / $1,698.24	Facility		$407.38	$707.95	$1,698.24
Univera Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $660.69 / $1,348.96	Professional		$426.58	$660.69	$1,348.96