Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $3,715.35 / $9,120.11	Facility		$630.96	$3,715.35	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $501.19 / $1,230.27	Professional		$389.05	$501.19	$1,230.27
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 $346.74 / $436.52 / $1,122.02	Professional		$346.74	$436.52	$1,122.02
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,698.24 / $6,165.95	Facility		$645.65	$1,698.24	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Professional		$645.65	$645.65	$645.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,659.59 / $50,118.72	Facility		$776.25	$1,659.59	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $758.58 / $1,995.26	Professional		$436.52	$758.58	$1,995.26
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $489.78 / $1,230.27	Facility		$302.00	$489.78	$1,230.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $575.44 / $831.76	Professional		$436.52	$575.44	$831.76
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $602.56 / $977.24	Professional		$380.19	$602.56	$977.24
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $50,118.72 / $75,857.76	Facility		$446.68	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $588.84 / $977.24	Professional		$398.11	$588.84	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $4,365.16 / $9,549.93	Facility		$2,137.96	$4,365.16	$9,549.93
United Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $602.56 / $1,174.90	Professional		$426.58	$602.56	$1,174.90
Univera Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $524.81 / $1,348.96	Facility		$371.54	$524.81	$1,348.96
Univera Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $549.54 / $1,348.96	Professional		$371.54	$549.54	$1,348.96