Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,318.26 / $2,290.87	Facility		$588.84	$1,318.26	$2,290.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $616.60 / $1,174.90	Professional		$363.08	$616.60	$1,174.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $1,995.26	Facility		$758.58	$758.58	$1,995.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $1,258.93	Professional		$302.00	$302.00	$1,258.93
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $758.58 / $758.58	Facility		$457.09	$758.58	$758.58
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $758.58 / $758.58	Professional		$549.54	$758.58	$758.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,621.81 / $2,754.23	Facility		$512.86	$1,621.81	$2,754.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $851.14 / $3,548.13	Professional		$363.08	$851.14	$3,548.13
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $977.24 / $2,089.30	Facility		$645.65	$977.24	$2,089.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $758.58 / $1,445.44	Professional		$537.03	$758.58	$1,445.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $724.44 / $1,348.96	Professional		$537.03	$724.44	$1,348.96
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,445.44 / $50,118.72	Facility		$977.24	$1,445.44	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Professional		$758.58	$758.58	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $758.58 / $912.01	Facility		$691.83	$758.58	$912.01
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $416.87 / $954.99	Professional		$302.00	$416.87	$954.99
Univera Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $691.83 / $812.83	Facility		$218.78	$691.83	$812.83
Univera Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $724.44 / $1,513.56	Professional		$489.78	$724.44	$1,513.56