Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $4,365.16 / $10,964.78	Facility		$912.01	$4,365.16	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $741.31 / $1,995.26	Professional		$575.44	$741.31	$1,995.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,786.30 / $10,000.00	Facility		$2,630.27	$4,786.30	$10,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $630.96 / $1,584.89	Professional		$489.78	$630.96	$1,584.89
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $2,398.83 / $10,964.78	Facility		$870.96	$2,398.83	$10,964.78
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Professional		$870.96	$870.96	$870.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,412.54 / $50,118.72	Facility		$1,023.29	$1,412.54	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $831.76 / $2,238.72	Professional		$501.19	$831.76	$2,238.72
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $645.65 / $1,621.81	Facility		$398.11	$645.65	$1,621.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $741.31 / $1,148.15	Professional		$602.56	$741.31	$1,148.15
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $758.58 / $1,318.26	Professional		$436.52	$758.58	$1,318.26
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $50,118.72 / $75,857.76	Facility		$512.86	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $776.25 / $1,258.93	Professional		$398.11	$776.25	$1,258.93
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $3,467.37 / $6,165.95	Facility		$1,348.96	$3,467.37	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $660.69 / $1,412.54	Professional		$446.68	$660.69	$1,412.54
Univera Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $851.14 / $1,380.38	Facility		$512.86	$851.14	$1,380.38
Univera Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $758.58 / $1,479.11	Professional		$489.78	$758.58	$1,479.11