Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $3,090.30 / $7,762.47	Facility		$630.96	$3,090.30	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $501.19 / $1,071.52	Professional		$346.74	$501.19	$1,071.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,786.30 / $10,232.93	Facility		$2,630.27	$4,786.30	$10,232.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $398.11 / $1,023.29	Professional		$309.03	$398.11	$1,023.29
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $4,073.80	Facility		$645.65	$645.65	$4,073.80
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 / $741.31 / $50,118.72	Facility		$34.67	$741.31	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $575.44 / $1,698.24	Professional		$338.84	$575.44	$1,698.24
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $562.34 / $1,621.81	Facility		$457.09	$562.34	$1,621.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $537.03 / $851.14	Professional		$446.68	$537.03	$851.14
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $549.54 / $977.24	Professional		$323.59	$549.54	$977.24
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 / $524.81 / $954.99	Professional		$398.11	$524.81	$954.99
United Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,754.23 / $5,128.61	Facility		$1,071.52	$2,754.23	$5,128.61
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $457.09 / $977.24	Professional		$354.81	$457.09	$977.24
Univera Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $630.96 / $1,258.93	Facility		$380.19	$630.96	$1,258.93
Univera Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $549.54 / $1,584.89	Professional		$331.13	$549.54	$1,584.89