Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $4,265.80 / $10,000.00	Facility		$602.56	$4,265.80	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $467.74 / $1,174.90	Professional		$371.54	$467.74	$1,174.90
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 $331.13 / $416.87 / $1,071.52	Professional		$331.13	$416.87	$1,071.52
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,995.26 / $8,912.51	Facility		$602.56	$1,995.26	$8,912.51
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Professional		$602.56	$602.56	$602.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,862.09 / $50,118.72	Facility		$724.44	$1,862.09	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $707.95 / $1,905.46	Professional		$398.11	$707.95	$1,905.46
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $851.14 / $1,513.56	Facility		$457.09	$851.14	$1,513.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $549.54 / $794.33	Professional		$407.38	$549.54	$794.33
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $562.34 / $1,096.48	Professional		$371.54	$562.34	$1,096.48
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $50,118.72 / $75,857.76	Facility		$524.81	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $562.34 / $912.01	Professional		$398.11	$562.34	$912.01
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $4,365.16 / $10,471.29	Facility		$2,137.96	$4,365.16	$10,471.29
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $562.34 / $1,122.02	Professional		$407.38	$562.34	$1,122.02
Univera Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $501.19 / $1,288.25	Facility		$354.81	$501.19	$1,288.25
Univera Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $524.81 / $1,380.38	Professional		$354.81	$524.81	$1,380.38