Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,202.26 / $2,041.74	Facility		$676.08	$1,202.26	$2,041.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $630.96 / $1,047.13	Professional		$426.58	$630.96	$1,047.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $1,737.80	Facility		$676.08	$676.08	$1,737.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $1,230.27	Professional		$269.15	$269.15	$1,230.27
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $676.08 / $676.08	Facility		$407.38	$676.08	$676.08
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $676.08 / $676.08	Professional		$489.78	$676.08	$676.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $1,445.44 / $2,454.71	Facility		$446.68	$1,445.44	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $831.76 / $3,235.94	Professional		$398.11	$831.76	$3,235.94
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $776.25 / $1,862.09	Facility		$407.38	$776.25	$1,862.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $645.65 / $1,288.25	Professional		$467.74	$645.65	$1,288.25
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $676.08 / $1,202.26	Professional		$575.44	$676.08	$1,202.26
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,258.93 / $50,118.72	Facility		$562.34	$1,258.93	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Professional		$676.08	$676.08	$676.08
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $676.08 / $812.83	Facility		$602.56	$676.08	$812.83
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $398.11 / $851.14	Professional		$281.84	$398.11	$851.14
Univera Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $645.65 / $707.95	Facility		$575.44	$645.65	$707.95
Univera Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $676.08 / $1,202.26	Professional		$575.44	$676.08	$1,202.26