Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $2,041.74 / $3,548.13	Facility		$912.01	$2,041.74	$3,548.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $660.69 / $1,148.15	Professional		$478.63	$660.69	$1,148.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $3,388.44	Facility		$1,318.26	$1,318.26	$3,388.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $1,348.96	Professional		$338.84	$338.84	$1,348.96
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 $676.08 / $676.08 / $1,862.09	Professional		$676.08	$676.08	$1,862.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,479.11 / $3,235.94	Facility		$851.14	$1,479.11	$3,235.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $1,096.48 / $6,309.57	Professional		$436.52	$1,096.48	$6,309.57
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,513.56 / $3,090.30	Facility		$758.58	$1,513.56	$3,090.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $912.01 / $2,454.71	Professional		$537.03	$912.01	$2,454.71
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $977.24 / $1,318.26	Professional		$588.84	$977.24	$1,318.26
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 / $954.99	Professional		$676.08	$676.08	$954.99
United Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $1,174.90 / $1,548.82	Facility		$467.74	$1,174.90	$1,548.82
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $446.68 / $1,047.13	Professional		$288.40	$446.68	$1,047.13
Univera Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $724.44 / $977.24	Facility		$512.86	$724.44	$977.24
Univera Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $794.33 / $1,348.96	Professional		$575.44	$794.33	$1,348.96