Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,122.02 / $1,949.84	Facility		$489.78	$1,122.02	$1,949.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $549.54 / $954.99	Professional		$186.21	$549.54	$954.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $1,659.59	Facility		$645.65	$645.65	$1,659.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $977.24	Professional		$257.04	$257.04	$977.24
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $645.65 / $645.65	Facility		$389.05	$645.65	$645.65
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $645.65 / $645.65	Professional		$467.74	$645.65	$645.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $1,380.38 / $2,290.87	Facility		$416.87	$1,380.38	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $724.44 / $3,090.30	Professional		$295.12	$724.44	$3,090.30
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $645.65 / $1,445.44	Facility		$181.97	$645.65	$1,445.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $549.54 / $1,230.27	Professional		$446.68	$549.54	$1,230.27
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Facility		$288.40	$288.40	$288.40
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $616.60 / $1,148.15	Professional		$288.40	$616.60	$1,148.15
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $1,202.26 / $50,118.72	Facility		$251.19	$1,202.26	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Professional		$645.65	$645.65	$645.65
United Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $645.65 / $776.25	Facility		$575.44	$645.65	$776.25
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $309.03 / $794.33	Professional		$173.78	$309.03	$794.33
Univera Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $676.08	Facility		$288.40	$288.40	$676.08
Univera Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $616.60 / $1,258.93	Professional		$288.40	$616.60	$1,258.93