Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $616.60 / $1,071.52	Facility		$575.44	$616.60	$1,071.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $676.08 / $933.25	Professional		$512.86	$676.08	$933.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $1,479.11	Facility		$741.31	$741.31	$1,479.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $676.08 / $1,819.70	Professional		$645.65	$676.08	$1,819.70
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $758.58 / $1,071.52	Facility		$104.71	$758.58	$1,071.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $1,071.52	Professional		$104.71	$104.71	$1,071.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $1,071.52 / $1,819.70	Facility		$151.36	$1,071.52	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $3,890.45	Professional		$295.12	$295.12	$3,890.45
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,258.93 / $2,884.03	Facility		$758.58	$1,258.93	$2,884.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,348.96 / $2,137.96	Professional		$676.08	$1,348.96	$2,137.96
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $1,047.13	Facility		$724.44	$724.44	$1,047.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,047.13 / $1,122.02	Professional		$724.44	$1,047.13	$1,122.02
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $50,118.72 / $75,857.76	Facility		$154.88	$50,118.72	$75,857.76
United Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $75.86 / $758.58	Facility		$38.02	$75.86	$758.58
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $977.24 / $2,041.74	Professional		$309.03	$977.24	$2,041.74
Univera Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $1,071.52	Facility		$724.44	$724.44	$1,071.52
Univera Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,047.13 / $1,122.02	Professional		$724.44	$1,047.13	$1,122.02