Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $2,884.03 / $7,762.47	Facility		$588.84	$2,884.03	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $537.03 / $1,230.27	Professional		$398.11	$537.03	$1,230.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,630.78 / $5,011.87	Facility		$1,819.70	$3,630.78	$5,011.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $489.78 / $1,174.90	Professional		$389.05	$489.78	$1,174.90
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $6,165.95	Facility		$588.84	$588.84	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $676.08	Professional		$588.84	$588.84	$676.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $50,118.72	Facility		$707.95	$707.95	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $616.60 / $1,513.56	Professional		$354.81	$616.60	$1,513.56
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $457.09 / $1,412.54	Facility		$371.54	$457.09	$1,412.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $676.08 / $1,047.13	Professional		$549.54	$676.08	$1,047.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $501.19 / $1,000.00	Professional		$331.13	$501.19	$1,000.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $50,118.72 / $75,857.76	Facility		$389.05	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $588.84 / $977.24	Professional		$398.11	$588.84	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $3,162.28 / $6,165.95	Facility		$1,288.25	$3,162.28	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $478.63 / $1,023.29	Professional		$346.74	$478.63	$1,023.29
Univera Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $575.44 / $1,174.90	Facility		$346.74	$575.44	$1,174.90
Univera Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $524.81 / $1,737.80	Professional		$331.13	$524.81	$1,737.80