Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $794.33 / $1,122.02	Facility		$338.84	$794.33	$1,122.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $501.19 / $933.25	Professional		$380.19	$501.19	$933.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $2,041.74	Facility		$1,000.00	$1,000.00	$2,041.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $537.03 / $1,548.82	Professional		$524.81	$537.03	$1,548.82
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $831.76 / $831.76	Facility		$758.58	$831.76	$831.76
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Professional		$831.76	$831.76	$831.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,584.89 / $50,118.72	Facility		$562.34	$1,584.89	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $1,000.00	Professional		$416.87	$416.87	$1,000.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,659.59 / $3,890.45	Facility		$1,000.00	$1,659.59	$3,890.45
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,122.02 / $1,949.84	Professional		$630.96	$1,122.02	$1,949.84
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $630.96	Facility		$602.56	$602.56	$630.96
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $602.56 / $630.96	Professional		$588.84	$602.56	$630.96
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $50,118.72 / $75,857.76	Facility		$1,288.25	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $977.24 / $977.24	Professional		$660.69	$977.24	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $660.69 / $1,202.26	Facility		$363.08	$660.69	$1,202.26
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $501.19 / $851.14	Professional		$331.13	$501.19	$851.14
Univera Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $602.56 / $630.96	Facility		$588.84	$602.56	$630.96
Univera Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $602.56 / $630.96	Professional		$588.84	$602.56	$630.96