Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $3,162.28 / $8,511.38	Facility		$707.95	$3,162.28	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $660.69 / $1,513.56	Professional		$457.09	$660.69	$1,513.56
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 $501.19 / $630.96 / $1,621.81	Professional		$501.19	$630.96	$1,621.81
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,698.24 / $6,165.95	Facility		$660.69	$1,698.24	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $912.01	Professional		$660.69	$660.69	$912.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,698.24 / $50,118.72	Facility		$794.33	$1,698.24	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $776.25 / $1,819.70	Professional		$436.52	$776.25	$1,819.70
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $616.60 / $1,584.89	Facility		$457.09	$616.60	$1,584.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $891.25 / $1,380.38	Professional		$741.31	$891.25	$1,380.38
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $758.58 / $1,348.96	Professional		$446.68	$758.58	$1,348.96
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $50,118.72 / $75,857.76	Facility		$436.52	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $794.33 / $1,318.26	Professional		$398.11	$794.33	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $4,265.80 / $9,549.93	Facility		$1,905.46	$4,265.80	$9,549.93
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $602.56 / $1,258.93	Professional		$407.38	$602.56	$1,258.93
Univera Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $645.65 / $1,288.25	Facility		$389.05	$645.65	$1,288.25
Univera Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $707.95 / $1,479.11	Professional		$446.68	$707.95	$1,479.11