Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $630.96 / $912.01	Facility		$288.40	$630.96	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $416.87 / $691.83	Professional		$338.84	$416.87	$691.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $1,621.81	Facility		$812.83	$812.83	$1,621.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $1,380.38	Professional		$436.52	$436.52	$1,380.38
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $660.69 / $660.69	Facility		$616.60	$660.69	$660.69
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Professional		$660.69	$660.69	$660.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,288.25 / $50,118.72	Facility		$524.81	$1,288.25	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $812.83	Professional		$380.19	$380.19	$812.83
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,318.26 / $3,090.30	Facility		$812.83	$1,318.26	$3,090.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $851.14 / $1,548.82	Professional		$501.19	$851.14	$1,548.82
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $588.84	Facility		$562.34	$562.34	$588.84
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $562.34	Professional		$537.03	$537.03	$562.34
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $50,118.72 / $75,857.76	Facility		$1,202.26	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $776.25 / $776.25	Professional		$524.81	$776.25	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $831.76 / $977.24	Facility		$302.00	$831.76	$977.24
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $457.09 / $660.69	Professional		$263.03	$457.09	$660.69
Univera Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $562.34 / $676.08	Facility		$478.63	$562.34	$676.08
Univera Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $537.03 / $562.34	Professional		$501.19	$537.03	$562.34