Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,096.48 / $1,737.80	Facility		$575.44	$1,096.48	$1,737.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $489.78 / $851.14	Professional		$426.58	$489.78	$851.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $1,513.56	Facility		$575.44	$575.44	$1,513.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $295.12 / $1,380.38	Professional		$288.40	$295.12	$1,380.38
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $575.44 / $575.44	Facility		$346.74	$575.44	$575.44
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $575.44 / $575.44	Professional		$426.58	$575.44	$575.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,230.27 / $6,309.57	Facility		$436.52	$1,230.27	$6,309.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $831.76 / $3,801.89	Professional		$371.54	$831.76	$3,801.89
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $616.60 / $1,584.89	Facility		$302.00	$616.60	$1,584.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $407.38 / $1,122.02	Professional		$275.42	$407.38	$1,122.02
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $602.56 / $954.99	Professional		$489.78	$602.56	$954.99
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,096.48 / $50,118.72	Facility		$724.44	$1,096.48	$50,118.72
United Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $524.81 / $691.83	Facility		$346.74	$524.81	$691.83
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $346.74 / $870.96	Professional		$245.47	$346.74	$870.96
Univera Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $660.69 / $1,862.09	Facility		$489.78	$660.69	$1,862.09
Univera Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $630.96 / $1,995.26	Professional		$489.78	$630.96	$1,995.26