Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $954.99 / $1,513.56	Facility		$426.58	$954.99	$1,513.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $380.19 / $489.78	Professional		$275.42	$380.19	$489.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $1,318.26	Facility		$501.19	$501.19	$1,318.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $724.44	Professional		$199.53	$199.53	$724.44
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Facility		$501.19	$501.19	$501.19
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $501.19 / $501.19	Professional		$371.54	$501.19	$501.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $1,071.52 / $1,288.25	Facility		$331.13	$1,071.52	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $2,398.83 / $2,398.83	Professional		$524.81	$2,398.83	$2,398.83
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $831.76 / $1,949.84	Facility		$501.19	$831.76	$1,949.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $302.00 / $977.24	Professional		$234.42	$302.00	$977.24
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $478.63 / $562.34	Professional		$316.23	$478.63	$562.34
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $954.99 / $50,118.72	Facility		$660.69	$954.99	$50,118.72
United Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $457.09 / $602.56	Facility		$275.42	$457.09	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $302.00 / $758.58	Professional		$213.80	$302.00	$758.58
Univera Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $501.19 / $575.44	Facility		$426.58	$501.19	$575.44
Univera Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $478.63 / $575.44	Professional		$302.00	$478.63	$575.44