Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $3,801.89 / $9,120.11	Facility		$676.08	$3,801.89	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $467.74 / $1,288.25	Professional		$380.19	$467.74	$1,288.25
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 $331.13 / $407.38 / $1,122.02	Professional		$331.13	$407.38	$1,122.02
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Facility		$588.84	$588.84	$588.84
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Professional		$588.84	$588.84	$588.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $794.33 / $50,118.72	Facility		$34.67	$794.33	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $741.31 / $1,862.09	Professional		$371.54	$741.31	$1,862.09
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 / $602.56 / $851.14	Professional		$446.68	$602.56	$851.14
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $562.34 / $1,202.26	Professional		$363.08	$562.34	$1,202.26
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $50,118.72 / $75,857.76	Facility		$501.19	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $602.56 / $1,258.93	Professional		$501.19	$602.56	$1,258.93
United Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $5,128.61 / $12,022.64	Facility		$2,398.83	$5,128.61	$12,022.64
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $478.63 / $1,258.93	Professional		$239.88	$478.63	$1,258.93
Univera Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $446.68 / $512.86	Facility		$331.13	$446.68	$512.86
Univera Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $512.86 / $1,202.26	Professional		$363.08	$512.86	$1,202.26