Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $5,248.07 / $12,022.64	Facility		$676.08	$5,248.07	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $562.34 / $1,348.96	Professional		$436.52	$562.34	$1,348.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,786.30 / $10,000.00	Facility		$2,630.27	$4,786.30	$10,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $512.86 / $1,258.93	Professional		$407.38	$512.86	$1,258.93
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $2,630.27 / $12,302.69	Facility		$741.31	$2,630.27	$12,302.69
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Professional		$741.31	$741.31	$741.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,290.87 / $50,118.72	Facility		$891.25	$2,290.87	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $851.14 / $2,344.23	Professional		$489.78	$851.14	$2,344.23
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $676.08 / $1,905.46	Facility		$524.81	$676.08	$1,905.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $707.95 / $977.24	Professional		$537.03	$707.95	$977.24
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $691.83 / $1,122.02	Professional		$416.87	$691.83	$1,122.02
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $50,118.72 / $75,857.76	Facility		$489.78	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $676.08 / $1,071.52	Professional		$398.11	$676.08	$1,071.52
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 $446.68 / $630.96 / $1,412.54	Professional		$446.68	$630.96	$1,412.54
Univera Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $575.44 / $1,479.11	Facility		$436.52	$575.44	$1,479.11
Univera Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $645.65 / $1,380.38	Professional		$416.87	$645.65	$1,380.38