Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $616.60 / $891.25	Facility		$263.03	$616.60	$891.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $436.52 / $831.76	Professional		$338.84	$436.52	$831.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $1,584.89	Facility		$794.33	$794.33	$1,584.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $1,318.26	Professional		$467.74	$467.74	$1,318.26
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $645.65 / $645.65	Facility		$602.56	$645.65	$645.65
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Professional		$645.65	$645.65	$645.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,479.11 / $50,118.72	Facility		$501.19	$1,479.11	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $851.14	Professional		$363.08	$363.08	$851.14
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,288.25 / $3,019.95	Facility		$794.33	$1,288.25	$3,019.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $870.96 / $1,513.56	Professional		$489.78	$870.96	$1,513.56
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $616.60	Facility		$588.84	$588.84	$616.60
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $489.78 / $588.84	Professional		$467.74	$489.78	$588.84
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $50,118.72 / $75,857.76	Facility		$1,258.93	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $758.58 / $758.58	Professional		$512.86	$758.58	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $478.63 / $1,047.13	Facility		$316.23	$478.63	$1,047.13
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $407.38 / $660.69	Professional		$257.04	$407.38	$660.69
Univera Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $478.63 / $616.60	Facility		$467.74	$478.63	$616.60
Univera Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $489.78 / $588.84	Professional		$467.74	$489.78	$588.84