Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $3,090.30 / $9,772.37	Facility		$549.54	$3,090.30	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $426.58 / $1,122.02	Professional		$331.13	$426.58	$1,122.02
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 / $371.54 / $912.01	Professional		$295.12	$371.54	$912.01
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,258.93 / $4,073.80	Facility		$512.86	$1,258.93	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Professional		$512.86	$512.86	$512.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,318.26 / $50,118.72	Facility		$616.60	$1,318.26	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $602.56 / $1,621.81	Professional		$338.84	$602.56	$1,621.81
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $416.87 / $1,230.27	Facility		$302.00	$416.87	$1,230.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $467.74 / $676.08	Professional		$354.81	$467.74	$676.08
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $524.81 / $776.25	Professional		$295.12	$524.81	$776.25
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 $416.87 / $501.19 / $954.99	Professional		$416.87	$501.19	$954.99
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 $257.04 / $398.11 / $1,071.52	Professional		$257.04	$398.11	$1,071.52
Univera Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $478.63 / $1,071.52	Facility		$295.12	$478.63	$1,071.52
Univera Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $478.63 / $933.25	Professional		$295.12	$478.63	$933.25