Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $3,801.89 / $9,120.11	Facility		$812.83	$3,801.89	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $588.84 / $1,659.59	Professional		$446.68	$588.84	$1,659.59
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 $426.58 / $537.03 / $1,348.96	Professional		$426.58	$537.03	$1,348.96
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $37,153.52	Facility		$812.83	$812.83	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Professional		$812.83	$812.83	$812.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,000.00 / $50,118.72	Facility		$34.67	$1,000.00	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $891.25 / $2,630.27	Professional		$575.44	$891.25	$2,630.27
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,174.90 / $2,089.30	Facility		$630.96	$1,174.90	$2,089.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $776.25 / $1,047.13	Professional		$588.84	$776.25	$1,047.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $741.31 / $1,230.27	Professional		$467.74	$741.31	$1,230.27
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $50,118.72 / $75,857.76	Facility		$616.60	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $794.33 / $1,230.27	Professional		$398.11	$794.33	$1,230.27
United Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $4,677.35 / $12,882.50	Facility		$2,089.30	$4,677.35	$12,882.50
United Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $724.44 / $1,621.81	Professional		$512.86	$724.44	$1,621.81
Univera Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $630.96 / $2,041.74	Facility		$467.74	$630.96	$2,041.74
Univera Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $691.83 / $1,819.70	Professional		$467.74	$691.83	$1,819.70