Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $3,630.78 / $10,964.78	Facility		$380.19	$3,630.78	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $288.40 / $776.25	Professional		$229.09	$288.40	$776.25
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 $229.09 / $288.40 / $707.95	Professional		$229.09	$288.40	$707.95
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $37,153.52	Facility		$389.05	$389.05	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Professional		$389.05	$389.05	$389.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $478.63 / $50,118.72	Facility		$34.67	$478.63	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $575.44 / $1,288.25	Professional		$331.13	$575.44	$1,288.25
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $1,023.29 / $1,513.56	Facility		$295.12	$1,023.29	$1,513.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $371.54 / $501.19	Professional		$275.42	$371.54	$501.19
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $331.13 / $575.44	Professional		$190.55	$331.13	$575.44
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $50,118.72 / $75,857.76	Facility		$346.74	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $398.11 / $602.56	Professional		$346.74	$398.11	$602.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $4,168.69 / $9,332.54	Facility		$1,513.56	$4,168.69	$9,332.54
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $354.81 / $812.83	Professional		$251.19	$354.81	$812.83
Univera Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $295.12 / $1,000.00	Facility		$223.87	$295.12	$1,000.00
Univera Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $331.13 / $870.96	Professional		$223.87	$331.13	$870.96