Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $691.83 / $977.24	Facility		$316.23	$691.83	$977.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $446.68 / $741.31	Professional		$363.08	$446.68	$741.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $1,737.80	Facility		$870.96	$870.96	$1,737.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $1,479.11	Professional		$478.63	$478.63	$1,479.11
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $707.95 / $707.95	Facility		$660.69	$707.95	$707.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Professional		$707.95	$707.95	$707.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,412.54 / $50,118.72	Facility		$630.96	$1,412.54	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $870.96	Professional		$457.09	$457.09	$870.96
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,445.44 / $3,388.44	Facility		$870.96	$1,445.44	$3,388.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $912.01 / $1,698.24	Professional		$537.03	$912.01	$1,698.24
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 $512.86 / $549.54 / $602.56	Professional		$512.86	$549.54	$602.56
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 $575.44 / $831.76 / $831.76	Professional		$575.44	$831.76	$831.76
United Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $912.01 / $1,071.52	Facility		$323.59	$912.01	$1,071.52
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $457.09 / $724.44	Professional		$281.84	$457.09	$724.44
Univera Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $512.86 / $630.96	Facility		$489.78	$512.86	$630.96
Univera Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $549.54 / $602.56	Professional		$512.86	$549.54	$602.56