Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,288.25 / $2,041.74	Facility		$676.08	$1,288.25	$2,041.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $549.54 / $1,023.29	Professional		$371.54	$549.54	$1,023.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $1,778.28	Facility		$676.08	$676.08	$1,778.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $1,318.26	Professional		$269.15	$269.15	$1,318.26
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 $501.19 / $676.08 / $676.08	Professional		$501.19	$676.08	$676.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $1,445.44 / $1,949.84	Facility		$457.09	$1,445.44	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $831.76 / $3,311.31	Professional		$407.38	$831.76	$3,311.31
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,122.02 / $2,630.27	Facility		$676.08	$1,122.02	$2,630.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $478.63 / $1,230.27	Professional		$338.84	$478.63	$1,230.27
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $645.65 / $1,202.26	Professional		$457.09	$645.65	$1,202.26
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,288.25 / $50,118.72	Facility		$891.25	$1,288.25	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $707.95	Professional		$676.08	$676.08	$707.95
United Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $616.60 / $812.83	Facility		$371.54	$616.60	$812.83
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $407.38 / $851.14	Professional		$288.40	$407.38	$851.14
Univera Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $724.44 / $724.44	Facility		$575.44	$724.44	$724.44
Univera Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $645.65 / $1,348.96	Professional		$457.09	$645.65	$1,348.96