Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $3,090.30 / $8,912.51	Facility		$794.33	$3,090.30	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $812.83 / $1,659.59	Professional		$537.03	$812.83	$1,659.59
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 $616.60 / $776.25 / $1,905.46	Professional		$616.60	$776.25	$1,905.46
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,698.24 / $6,165.95	Facility		$776.25	$1,698.24	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $1,071.52	Professional		$776.25	$776.25	$1,071.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,412.54 / $50,118.72	Facility		$912.01	$1,412.54	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $891.25 / $2,137.96	Professional		$457.09	$891.25	$2,137.96
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $645.65 / $1,819.70	Facility		$537.03	$645.65	$1,819.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,047.13 / $1,621.81	Professional		$851.14	$1,047.13	$1,621.81
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $891.25 / $1,584.89	Professional		$512.86	$891.25	$1,584.89
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $50,118.72 / $75,857.76	Facility		$501.19	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $912.01 / $1,513.56	Professional		$398.11	$912.01	$1,513.56
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 $467.74 / $691.83 / $1,479.11	Professional		$467.74	$691.83	$1,479.11
Univera Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $758.58 / $1,513.56	Facility		$446.68	$758.58	$1,513.56
Univera Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $831.76 / $2,041.74	Professional		$512.86	$831.76	$2,041.74