Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $3,090.30 / $7,762.47	Facility		$741.31	$3,090.30	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $660.69 / $1,698.24	Professional		$478.63	$660.69	$1,698.24
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 $416.87 / $524.81 / $1,318.26	Professional		$416.87	$524.81	$1,318.26
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,258.93 / $4,073.80	Facility		$776.25	$1,258.93	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Professional		$776.25	$776.25	$776.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,659.59 / $50,118.72	Facility		$912.01	$1,659.59	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $724.44 / $1,995.26	Professional		$436.52	$724.44	$1,995.26
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $616.60 / $1,862.09	Facility		$501.19	$616.60	$1,862.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $676.08 / $1,047.13	Professional		$562.34	$676.08	$1,047.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $676.08 / $1,174.90	Professional		$436.52	$676.08	$1,174.90
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $50,118.72 / $75,857.76	Facility		$954.99	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $660.69 / $1,122.02	Professional		$398.11	$660.69	$1,122.02
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 $416.87 / $562.34 / $1,230.27	Professional		$416.87	$562.34	$1,230.27
Univera Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $758.58 / $1,412.54	Facility		$457.09	$758.58	$1,412.54
Univera Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $676.08 / $2,238.72	Professional		$436.52	$676.08	$2,238.72