Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $4,168.69 / $10,964.78	Facility		$954.99	$4,168.69	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $776.25 / $2,089.30	Professional		$602.56	$776.25	$2,089.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $5,888.44 / $12,302.69	Facility		$3,388.44	$5,888.44	$12,302.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $645.65 / $1,659.59	Professional		$512.86	$645.65	$1,659.59
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $2,398.83 / $10,964.78	Facility		$912.01	$2,398.83	$10,964.78
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Professional		$912.01	$912.01	$912.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,187.76 / $50,118.72	Facility		$1,071.52	$2,187.76	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $870.96 / $2,344.23	Professional		$537.03	$870.96	$2,344.23
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $707.95 / $2,137.96	Facility		$588.84	$707.95	$2,137.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $776.25 / $1,202.26	Professional		$630.96	$776.25	$1,202.26
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $794.33 / $1,380.38	Professional		$446.68	$794.33	$1,380.38
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $50,118.72 / $75,857.76	Facility		$616.60	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $812.83 / $1,318.26	Professional		$398.11	$812.83	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $4,897.79 / $11,481.54	Facility		$2,187.76	$4,897.79	$11,481.54
United Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $676.08 / $1,479.11	Professional		$501.19	$676.08	$1,479.11
Univera Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $891.25 / $1,862.09	Facility		$537.03	$891.25	$1,862.09
Univera Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $794.33 / $2,630.27	Professional		$512.86	$794.33	$2,630.27