Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $933.25 / $1,659.59	Facility		$512.86	$933.25	$1,659.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $616.60 / $1,348.96	Professional		$478.63	$616.60	$1,348.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $562.34 / $1,096.48	Professional		$457.09	$562.34	$1,096.48
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $524.81	Facility		$316.23	$316.23	$524.81
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $524.81 / $851.14	Professional		$316.23	$524.81	$851.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,288.25 / $2,187.76	Facility		$1,096.48	$1,288.25	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $891.25 / $2,511.89	Professional		$457.09	$891.25	$2,511.89
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $630.96 / $1,445.44	Facility		$154.88	$630.96	$1,445.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,174.90 / $1,584.89	Professional		$812.83	$1,174.90	$1,584.89
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $707.95 / $1,479.11	Professional		$524.81	$707.95	$1,479.11
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $50,118.72 / $75,857.76	Facility		$213.80	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $831.76 / $1,819.70	Professional		$676.08	$831.76	$1,819.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,995.26 / $2,454.71	Facility		$1,737.80	$1,995.26	$2,454.71
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $676.08 / $1,548.82	Professional		$398.11	$676.08	$1,548.82
Univera Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $812.83 / $1,174.90	Facility		$363.08	$812.83	$1,174.90
Univera Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $812.83 / $1,862.09	Professional		$524.81	$812.83	$1,862.09