Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $4,677.35 / $10,964.78	Facility		$933.25	$4,677.35	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $776.25 / $2,041.74	Professional		$602.56	$776.25	$2,041.74
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 $501.19 / $645.65 / $1,621.81	Professional		$501.19	$645.65	$1,621.81
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,398.83 / $10,964.78	Facility		$891.25	$2,398.83	$10,964.78
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Professional		$891.25	$891.25	$891.25
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 $524.81 / $870.96 / $2,344.23	Professional		$524.81	$870.96	$2,344.23
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $691.83 / $2,089.30	Facility		$549.54	$691.83	$2,089.30
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 / $776.25 / $1,348.96	Professional		$446.68	$776.25	$1,348.96
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $50,118.72 / $75,857.76	Facility		$588.84	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $794.33 / $1,318.26	Professional		$398.11	$794.33	$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 / $660.69 / $1,445.44	Professional		$501.19	$660.69	$1,445.44
Univera Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $870.96 / $1,778.28	Facility		$524.81	$870.96	$1,778.28
Univera Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $776.25 / $2,630.27	Professional		$512.86	$776.25	$2,630.27