Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $870.96 / $1,230.27	Facility		$389.05	$870.96	$1,230.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $588.84 / $912.01	Professional		$446.68	$588.84	$912.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $2,187.76	Facility		$1,096.48	$1,096.48	$2,187.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $676.08 / $1,737.80	Professional		$660.69	$676.08	$1,737.80
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $891.25 / $891.25	Facility		$831.76	$891.25	$891.25
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Professional		$891.25	$891.25	$891.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,737.80 / $50,118.72	Facility		$616.60	$1,737.80	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $1,096.48	Professional		$446.68	$446.68	$1,096.48
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,819.70 / $4,265.80	Facility		$1,096.48	$1,819.70	$4,265.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,202.26 / $2,137.96	Professional		$676.08	$1,202.26	$2,137.96
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $741.31 / $776.25	Professional		$691.83	$741.31	$776.25
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $50,118.72 / $53,703.18 / $75,857.76	Facility		$50,118.72	$53,703.18	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,047.13 / $1,047.13	Professional		$724.44	$1,047.13	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $1,148.15 / $1,348.96	Facility		$407.38	$1,148.15	$1,348.96
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $549.54 / $933.25	Professional		$354.81	$549.54	$933.25
Univera Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Facility		$691.83	$691.83	$691.83
Univera Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $741.31	Professional		$691.83	$691.83	$741.31