Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $3,630.78 / $10,964.78	Facility		$645.65	$3,630.78	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $524.81 / $1,513.56	Professional		$416.87	$524.81	$1,513.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,786.30 / $9,549.93	Facility		$2,630.27	$4,786.30	$9,549.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $478.63 / $1,348.96	Professional		$380.19	$478.63	$1,348.96
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $37,153.52	Facility		$645.65	$645.65	$37,153.52
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 $34.67 / $794.33 / $50,118.72	Facility		$34.67	$794.33	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $912.01 / $2,238.72	Professional		$446.68	$912.01	$2,238.72
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $602.56 / $1,380.38	Facility		$338.84	$602.56	$1,380.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $741.31 / $1,000.00	Professional		$562.34	$741.31	$1,000.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $602.56 / $977.24	Professional		$371.54	$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 / $630.96 / $977.24	Professional		$398.11	$630.96	$977.24
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 $446.68 / $645.65 / $1,621.81	Professional		$446.68	$645.65	$1,621.81
Univera Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $537.03 / $1,778.28	Facility		$380.19	$537.03	$1,778.28
Univera Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $562.34 / $1,479.11	Professional		$371.54	$562.34	$1,479.11