Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $3,801.89 / $10,232.93	Facility		$831.76	$3,801.89	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $707.95 / $1,862.09	Professional		$549.54	$707.95	$1,862.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $5,888.44 / $12,302.69	Facility		$3,388.44	$5,888.44	$12,302.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $616.60 / $1,513.56	Professional		$478.63	$616.60	$1,513.56
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,698.24 / $6,165.95	Facility		$831.76	$1,698.24	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Professional		$831.76	$831.76	$831.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,659.59 / $50,118.72	Facility		$1,023.29	$1,659.59	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $977.24 / $2,630.27	Professional		$512.86	$977.24	$2,630.27
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $676.08 / $2,089.30	Facility		$537.03	$676.08	$2,089.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $758.58 / $1,096.48	Professional		$575.44	$758.58	$1,096.48
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $870.96 / $1,479.11	Professional		$478.63	$870.96	$1,479.11
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $50,118.72 / $75,857.76	Facility		$630.96	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $794.33 / $1,288.25	Professional		$398.11	$794.33	$1,288.25
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 $426.58 / $660.69 / $1,778.28	Professional		$426.58	$660.69	$1,778.28
Univera Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $794.33 / $1,949.84	Facility		$489.78	$794.33	$1,949.84
Univera Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $794.33 / $1,905.46	Professional		$478.63	$794.33	$1,905.46