Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,348.96 / $2,187.76	Facility		$616.60	$1,348.96	$2,187.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $562.34 / $691.83	Professional		$436.52	$562.34	$691.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $1,862.09	Facility		$724.44	$724.44	$1,862.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $831.76	Professional		$229.09	$229.09	$831.76
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Facility		$724.44	$724.44	$724.44
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $724.44 / $724.44	Professional		$524.81	$724.44	$724.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $1,548.82 / $1,862.09	Facility		$467.74	$1,548.82	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,047.13 / $3,467.37	Professional		$724.44	$1,047.13	$3,467.37
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,174.90 / $2,754.23	Facility		$724.44	$1,174.90	$2,754.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $977.24 / $1,412.54	Professional		$758.58	$977.24	$1,412.54
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $691.83 / $1,288.25	Professional		$575.44	$691.83	$1,288.25
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,348.96 / $50,118.72	Facility		$933.25	$1,348.96	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $741.31	Professional		$724.44	$724.44	$741.31
United Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $724.44 / $870.96	Facility		$645.65	$724.44	$870.96
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $436.52 / $954.99	Professional		$302.00	$436.52	$954.99
Univera Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $724.44 / $831.76	Facility		$436.52	$724.44	$831.76
Univera Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $724.44 / $1,412.54	Professional		$575.44	$724.44	$1,412.54