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 / $10,471.29	Facility		$645.65	$3,630.78	$10,471.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $616.60 / $1,479.11	Professional		$446.68	$616.60	$1,479.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $5,888.44 / $12,302.69	Facility		$3,388.44	$5,888.44	$12,302.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $575.44 / $1,412.54	Professional		$446.68	$575.44	$1,412.54
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $2,398.83 / $10,964.78	Facility		$645.65	$2,398.83	$10,964.78
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $831.76	Professional		$645.65	$645.65	$831.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $2,187.76 / $50,118.72	Facility		$758.58	$2,187.76	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $707.95 / $1,659.59	Professional		$407.38	$707.95	$1,659.59
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $524.81 / $1,479.11	Facility		$416.87	$524.81	$1,479.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $831.76 / $1,288.25	Professional		$676.08	$831.76	$1,288.25
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $707.95 / $1,230.27	Professional		$407.38	$707.95	$1,230.27
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $50,118.72 / $75,857.76	Facility		$407.38	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $707.95 / $1,202.26	Professional		$398.11	$707.95	$1,202.26
United Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $4,897.79 / $11,481.54	Facility		$2,187.76	$4,897.79	$11,481.54
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $549.54 / $1,174.90	Professional		$380.19	$549.54	$1,174.90
Univera Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $630.96 / $1,230.27	Facility		$371.54	$630.96	$1,230.27
Univera Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $630.96 / $1,778.28	Professional		$407.38	$630.96	$1,778.28