Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,412.54 / $2,238.72	Facility		$630.96	$1,412.54	$2,238.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $575.44 / $724.44	Professional		$407.38	$575.44	$724.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $1,698.24	Professional		$691.83	$691.83	$1,698.24
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $741.31 / $741.31	Professional		$537.03	$741.31	$741.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $1,174.90 / $2,754.23	Facility		$478.63	$1,174.90	$2,754.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,862.09 / $3,548.13	Professional		$741.31	$1,862.09	$3,548.13
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,230.27 / $2,818.38	Facility		$741.31	$1,230.27	$2,818.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,000.00 / $1,445.44	Professional		$776.25	$1,000.00	$1,445.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $741.31 / $1,318.26	Professional		$630.96	$741.31	$1,318.26
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,412.54 / $50,118.72	Facility		$954.99	$1,412.54	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $758.58	Professional		$741.31	$741.31	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $741.31 / $891.25	Facility		$660.69	$741.31	$891.25
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $446.68 / $977.24	Professional		$309.03	$446.68	$977.24
Univera Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $741.31 / $851.14	Facility		$630.96	$741.31	$851.14
Univera Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $741.31 / $1,479.11	Professional		$501.19	$741.31	$1,479.11